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BJA Advance Access originally published online on September 17, 2004
British Journal of Anaesthesia 2004 93(6):859-864; doi:10.1093/bja/aeh274
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Anaesthesia for laparoscopic urological surgery

I. D. Conacher*, N. A. Soomro and D. Rix

Freeman Hospitals Trust, Newcastle upon Tyne, UK

* Corresponding author. Department of Anaesthetics, Freeman Hospital, Freeman Road, Newcastle Upon Tyne NE7 7DN, UK. E-mail: i.d.conacher{at}btinternet.com

Laparoscopy for urological surgery is a relatively recent surgical innovation. Some centres have substantial experience of single operations, but very few have experience with a comprehensive range. Our programme began with nephrectomy and pyeloplasty, and has expanded to provide for a living related kidney donor programme and for other procedures usually conducted open. Recently, it has included prostate and bladder cancer surgery. The learning curve and implications for anaesthesia are described on the basis of the experience of one anaesthetist with 124 patients. Perioperative care issues, in common with other abdominal laparoscopic procedures, relate to operating positions, the consequences of carbon dioxide under pressure in the abdomen and postoperative analgesia. There is only a small requirement for regional anaesthesia supplementation and invasive analgesia. The corporate laparoscopic cholecystectomy experience was used as the foundation for anaesthesia and to delineate specific organ system issues and any interventions. Significant differences were found in the spectrum of the urological patient population and comorbidity, notably renal function or dysfunction, and complications.


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This article has been cited by other articles:


Home page
 Oxford Handbook of AnaesthesiaHome page
K. G. Allman and l. H. Wilson
Other urological procedures
Oxford Handbook of Anaesthesia, January 1, 2006; 2(1): med-9780198566090-div1-23 - med-9780198566090-div1-23.
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