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Is robot‐assisted retroperitoneal adrenalectomy safe? An investigation of perioperative hypertensive crisis among hypertensive and normotensive patients
Author(s) -
Zhou Qiqi,
Lei Enjun,
Ren Haijing,
Yuan Qian,
Ou Yangru,
Liu Wei
Publication year - 2021
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2202
Subject(s) - medicine , hypertensive crisis , perioperative , adrenalectomy , blood pressure , incidence (geometry) , anesthesia , surgery , physics , optics
Abstract Background Objective: We examined the incidence of perioperative hypertensive crisis in robot‐assisted retroperitoneal laparoscopic adrenalectomy. Methods A consecutive series of 120 patients with adrenal tumours undergoing robot‐assisted retroperitoneal laparoscopic adrenalectomy were included. Patients were divided into two groups: group A (hypertension group, 58 cases, mean age 43.59 years) and group B (normotension group, 62 cases, mean age 48.01 years). General anaesthesia was applied using endotracheal intubation and haemodynamic changes were closely monitored. Results A total of nine (7.5%) hypertensive crisis cases were observed. After intravenous infusion of sodium nitroprusside, seven cases of them were quickly controlled and two cases experienced transient severe hypertension. The incidence of hypertensive crisis was 13.7% and 1.6% in groups A and B, respectively ( p < 0.05). Conclusion These findings highlight the importance of strengthening the monitoring of anaesthesia and taking various measures to effectively control the blood pressure in robot‐assisted retroperitoneal laparoscopic adrenalectomy, especially among hypertensive patients.