Published in:
01-09-2012 | Case Report
Hemiparesis after robotic laparoscopic radical cystectomy and ileal conduit formation in steep Trendelenburg position
Authors:
Ravindra Pandey, Rakesh Garg, V. Darlong, Jyotsna Punj, Chandralekha
Published in:
Journal of Robotic Surgery
|
Issue 3/2012
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Abstract
Robotic surgery is becoming popular for minimally invasive surgical procedures as robotic devices allow unprecedented control and precision. We report a case of robotic radical cystectomy with ileal conduit urinary diversion surgery having perioperative neurological complications related to prolonged surgery in the steep head-down position. There was a neurological deficit in the form of hemiparesis, which resolved with conservative management. We suggest that duration and positioning should be optimized for such prolonged surgery in the steep head-down position, and make some recommendations. Moreover, in such surgeries great vigilance must be observed in the perioperative period.