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Erschienen in:
01.11.2014 | Case Report
Cerebral oedema following robotic surgery: a rare complication
Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2014
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Introduction
We present an unusual complication following robotic assisted radical hysterectomy.
Case report
A 51-year-old female with stage 1B1 cervical cancer underwent a robotic assisted radical hysterectomy. The procedure was prolonged with difficulties dissecting the left parametrium and vaginal fornix with persistent bleeding from the left vaginal vault. Post-operatively the patient was electively sedated and ventilated. Extubation was difficult due to patient agitation but achieved on day 2. Agitation persisted and a head CT scan was performed and a diagnosis of cerebral oedema was made.
Discussion
Factors contributing to this case include prolonged operating time, prolonged Trendelenburg position with high pressures of CO2 pneumoperitoneum and excessive blood loss. These factors may contribute to poor cerebral venous outflow, increasing intracranial pressure leading to increased risk of cerebral oedema.
Conclusion
The mechanics of robotic assistance may be used to reduce these risks by significantly reducing intra-abdominal pressure improving venous return.
Summary
The use of robotics in surgery has been increasing over the last 10 years, and the benefits have been well documented. We present an unusual complication following robotic assisted radical hysterectomy performed for cervical cancer.