Impact of constant low-gas pressure on cardiopulmonary parameters and surgical outcomes in extraperitoneal full nerve-sparing robot-assisted radical prostatectomy
Clicks: 1
ID: 310260
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
0.0
/100
1 views
0 readers
AI Quality Assessment
Not analyzed
Readership in this journal
Ranked #448 of 490 articles by views in Frontiers in surgery
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 490 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Abstract: Traditionally, in EP-RARP, a pneumo-Retzius is obtained by using a CO2 insufflation pressure of 12-15 mmHg. However, EP surgery is associated with an increase in CO2 absorption and consequent hypercapnia and acidosis. The aim of this study was to compare the effect of low CO2 pressure (8 mmHg) to a conventional gas pressure in EP-RARP. We enrolled patients with low-risk prostate cancer who underwent full nerve-sparing RARP using our PERUSIA technique. Exclusion criteria were chronic lung diseases, positive bioptic core in anterior zone, shift to transperitoneal approach. Cardiopulmonary parameters were measured at the induction of anesthesia (T0), at 5 (T1), 60 (T2) minutes after starting CO₂ insufflation, and immediately after DVC dissection before urethro-vesical anastomosis (T3). Data from 120 consecutive patients were retrospectively analyzed from a prospectively maintained database. Patients were divided into two groups based on the CO₂ insufflation pressure (8 vs 12 mmHg). No significant differences were detected in mean operative time, in time required for trocar positioning, in mean estimated blood loss and in complications between the two group. The only significant difference was in PaCO2, higher at T3 in Group 2 (p 0.005), with a consequent reduction in arterial pH, however not significant (p=0.44). EP-RARP can be safely performed using low CO2 insufflation pressure. From anesthesiologic point of view, this advantage could extend eligibility criteria to EP-RARP to patients with chronic pulmonary diseases.
| Reference Key |
imported_1768925770_696faa4ad217d
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Mearini, Ettore |
| Journal | Frontiers in surgery |
| Year | Year not found |
| DOI |
10.3389/fsurg.2025.1702676
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.