A Study of 57 Patients with Prostate Cancer to Compare Outcomes of Estimated Blood Loss and Postoperative Pain Between Robot-Assisted Laparoscopic Radical Prostatectomy and Standard Laparoscopic Radical Prostatectomy

09 March 2023: Clinical Research

Boo-young Hwang ^12A* , Dowon Lee ^12F , Jae-young Kwon ^2E , Ohyun Kim ^2B , Jeong-min Hong ^2D , Hyae Jin Kim ^2E

DOI: 10.12659/MSM.939584

Med Sci Monit 2023; 29:e939584

Table 2 Anesthetic data.

	RARP (n=29)	LRP (n=28)	P value
Anesthesia time (min)	157.76 (20.29)	138.75 (17.14)	0.001^**
Operation time (min)	131.38 (20.31)	115.00 (16.39)	0.003^**
Pneumoperitoneum duration (min)	102.10 (18.25)	90.57 (15.62)	0.021^*
Gas insufflated pressure (mmHg)	11.24 (1.30)6	11.32 (2.14)	0.916
Fluid
Crystalloid (ml)	1263.79 (401.98)	982.14 (417.27)	0.011^*
Colloid (ml)	68.97 (175.47)	89.29 (195.01)	0.677
Estimated Blood loss (ml)	481.03 (258.57)	375.00 (134.37)	0.169
Use of Ephedrine (n)	0.72 (1.65)	0.54 (0.92)	0.936
Infused remifentanil (mcg)	531.43 (155.61)	420.00 (182.62)	0.031^*
Rocuronium bolus count (n)	1.52 (1.46)	1.39 (1.37)	0.701
Postoperative transfusion (ml)	0	0	–
Length of stay in PACU (min)	24.48 (20.06)	25.18 (18.73)	0.762
Duration of hospital stay (day)	6.79 (3.37)	6.21 (4.71)	0.111
There were no significant differences in gas insufflated pressure, infused colloid, estimated blood loss, use of ephedrine, rocuronium bolus, incidence of transfusion, length of stay in the post-anesthesia care unit (PACU), and duration of hospital stay between the 2 groups. Anesthesia time, operation time, and pneumoperitoneum duration in the RARP group were longer than those in the LRP group. The volume of administered crystalloid and remifentanil in the RARP group was larger than that in the LRP group. RARP – robot-assisted radical prostatectomy; LRP – laparoscopic radical prostatectomy; PACU – post-anesthesia care unit. Data are expressed as mean value and standard deviation (SD) or as number. ^* ^**