title: Hemiparesis after robotic laparoscopic radical cystectomy and ileal conduit formation in steep Trendelenburg position.
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.
authors.affiliation: Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
authors.forename: Ravindra
authors.initials: R
authors.lastname: Pandey
authors.affiliation: Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India. drrgarg@hotmail.com.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Garg
authors.affiliation: Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
authors.forename: V
authors.initials: V
authors.lastname: Darlong
authors.affiliation: Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
authors.forename: Jyotsna
authors.initials: J
authors.lastname: Punj
authors.affiliation: Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
authors.lastname: Chandralekha
keywords: Anaesthesia; Cerebral edema; Hemiparesis; Robotic surgery; Urinary bladder carcinoma