This robot-assisted surgery was performed for the first time not only in Russia but also in the CIS countries and Eastern Europe. The surgery was performed by Medical Director of the Clinic of Urology and Robotic Surgery of Almazov Centre, Prof. M. Mosoyan.
“This became possible thanks to the multidisciplinary approach, state-of-the-art facilities and high expertise of doctors of various specialties. The idea of a personalized approach to the treatment of such patients was initiated by Director General of Almazov Centre, Academician of the Russian Academy of Sciences Evgeny Shlyakhto.
In this particular case, a team of specialists thoroughly prepared the patient for the surgery, the procedure itself and postoperative management. Everything was coordinated by Chief of the Clinic, Irina Strizhak,” notes Prof. Mosoyan.
The team of specialists who took part in the treatment of the patient included: Head of Urology Department D. Shelipanov, attending urologist D. Fedorov, Head of Research Laboratory of High-Tech Methods for Heart Failure Treatment P. Fedotov, attending transplant cardiologist M. Simonenko, Head of Anesthesiology and Intensive Care Department No. 12 R. Rutkovsky.
The procedure was complicated by the patient’s high BMI, a large volume of the prostate gland (more than 80 cm3), previous anticoagulant therapy and especially the fact that the patient had a pacemaker that provided three heart rhythms. In this regard, it was practically impossible to use monopolar coagulation during surgery. Otherwise, the coagulation electric current would interrupt the heart rhythm. Besides, during a robot-assisted radical prostatectomy, the patient is placed on the operating table in the Trendelenburg position (i.e. head down at 30°), and carbon dioxide gas is injected into the abdominal cavity in order to allow entry of the required instruments. All of this puts pressure on the diaphragm, lungs and heart, impairing their function.
Thanks to the expertise and professional skills of the specialists of Almazov Centre, the surgery, anesthesia and postoperative period were uneventful.
Currently, the patient is getting ready to be discharged.