Özkan GÖRGÜLÜ, Bora DİNÇ

Robot-Yardımlı Radikal Sistektomi Sırasında Subkutan Amfizem

Robotik Yardımlı Radikal Sistektomi RARC ameliyatları erken taburculuk ve minimum kan kaybı nedeniyle günümüzde popüler hale gelmiştir. Ayrıca ameliyat süresinin uzaması ile komplikasyonlar gelişebilir. Olgumuzda da RARC ameliyatında intraoperatif gelişen deri altı amfizem tespit ettik. Özellikle RARC ameliyatlarında yüksek karın içi CO2 basınçları ve uzun süre Trendelenburg pozisyonu nedeniyle arteriyel kan gazı değerlendirmesi ile solunum frekansının arttırılması ve optimal tidal volümün sağlanması esastır. Ayrıca, intraoperatif tidal sonu CO2 düzeylerinin artması durumunda hastanın dikkatli fizik muayenesinin gerekli olduğuna inanıyoruz

Anahtar Kelimeler:

Subkütan amfizem, Robotik yardımlı sistektomi, Yüksek basınçlı insüflasyon

Subcutaneous Emphysema during Robotic-Assisted Radical Cystectomy

Robotic-Assisted Radical Cystectomy RARC operations have become popular today due to early discharge and minimal blood loss. Besides, complications can develop with the prolongation of the operation time. In our case, we detected subcutaneous emphysema, which developed intraoperatively in RARC operation. Especially in RARC surgeries, it is essential to increase the respiratory frequency and provide optimal tidal volume with arterial blood gas evaluation because of the high intra-abdominal CO2 pressures and Trendelenburg position for a long time. Also, we believe that careful physical examination of the patient is necessary in cases of increased End-tidal CO2 levels intraoperatively

Keywords:

Subcutaneous emphysema, Robotic assisted cystectomy, High pressure insufflation,

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