Laparoscopic pelvic lymphadenectomy during epidural anesthesia.
This report describes the perioperative management of a 70-year-old man undergoing bilateral pelvic lymphadenectomy. Because of concerns regarding this patient's high risk for myocardial ischemia, the four-hour surgical procedure, which included the formation of pneumoperitoneum, was performed during epidural anesthesia with minimal sedation. The anesthetic implications of pneumoperitoneum during regional anesthesia are discussed.
Kelly
D
D
Department of Anesthesiology, Yale University School of Medicine, New Haven, CT 06510, USA.
Kraus
P A
PA
Brull
S J
SJ
D000368:Aged; D000767:Anesthesia, Epidural; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D004562:Electrocardiography; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D016343:Monitoring, Intraoperative; D017202:Myocardial Ischemia / Q000517:prevention & control*; D011027:Pneumoperitoneum / Q000150:complications; D011467:Prostate / Q000601:surgery*; D012307:Risk Factors