Frequency and nature of symptoms of dysfunction of the lower urinary tract in persons over 40 years old
Postcoital cystitis as a cause of sexual dysfunction in women
A modern view on the screening of urolithiasis
Hereditary factor of metaphylaxis of urolithiasis
Treatment of infertility associated with a high level of sperm DNA fragmentation
COVID-19 associated encrusting cystitis
Endoscopic correction of vesicoureteral reflux in children: differentiated choice of method, material and dosage
Male infertility in the Russian Federation: statistics for 2000-2018
Evaluation of the effectiveness of perineum muscle training in restoring erectile function
Epidemiology of urolithiasis in the Perm region: results of a 30-year study
The economic and economic rationale for the use of modern methods of treating urolithiasis
Incidence of ICD in the Russian Federation (2005-2016)
Screening for prostate cancer: modern presentation and organization
Primary multiple transitional cell epithelium
Androgenic screening in men over 50 years
The role of stem cells in the treatment of urinary incontinence
Percutaneous nephrolithotripsy in infected urine
Testicular Prosthesis in Children and Adolescents: Results from a Multicenter Study
Premature ejaculation is the current state of the problem.
Alternative methods of treatment of localized prostate cancer
Partial doubling of the urethra: paraurethral motion
Comparative review of disposable flexible ureteronephroscope
The prevalence of symptoms of impairment of the function of the lower urinary tract in men according to the results of a population study
Patient-centered system of organization of medical care in urology using...
Radioisotope lymphoscintigraphy with PCa
Metabolic risk factors and formation of urinary stones
Ureteral amputation in the performance of contact ureterolithotrypsy
Principles of «4P Medicine» in the organization of health care in the context of urological diseases
Changes in the electrolyte composition of urine under the influence of sodium hypochlorite. The possibility
of reducing the risk of recurrence of nephrolithiasis
The analysis of the accuracy of factors for the survival predictiry after radical cystectomy
Citokine status in pathients with recurrent urinary tract infection
The role of distance education in improving primary health care professionals.
Comparative analysis of the results of cancer radical retropubic and robot-assisted prostatectomy.
Experience of clinical and economical treatment cancer patients
Comparison of analysis details for open, laparoscopic
and robot-assisted nephrectomy in the..
First results of standardized programme for BPH diagnosis and treatment
Evaluation of serum Chromogranin A levels in different prostatic diseases
Retarded ejaculation is a rare diagnosis
Clinical and economic analysis of the surgical treatment of prostate cancer
Brachytherapy prostate cancer: postimplantnaya dosimetry and dependence ...
Simulation prostatic carcinogenesis
Popov S.V. – Dr. Sc., assistant professor; Head Doctor of St. Petersburg Clinical Hospital of St. Luke, Head of the Center for Endoscopic Urology and New Technologies, doc.popov@gmail.com, ORCID 0000-0003-2767-7153
Guseynov R.G. – Head of the Urology Department №2 of St. Petersburg Clinical Hospital of St. Luke, rusfa@yandex.ru, ORCID 0000-0001-9935-0243
SkryabinO.N. – Dr. Sc., Professor, Chief Oncologist of St. Petersburg Clinical Hospital of St. Luke, Scientific Director of the Center for Endoscopic Urology and New Technologies, skryabin_55@mail.com, ORCID 0000-0002-6664-2861
Koryachkin V.A. – Dr. Sc., Professor of the Department of Anesthesiology, Intensive Care and Emergency Pediatrics named aer V.I. Gordeev St. Petersburg State Pediatric Medical University, vakoryachkin@mail.ru, ORCID 0000-0002-3400-8989
Kritskiy A.V. – anestesiologist of St. Petersburg Clinical Hospital of St. Luke, sevoran83@mail.ru, ORCID 0000-0002-1626-1040
Davydov A.V. – PhD, urologist of St. Petersburg Clinical Hospital of St. Luke, medalex2003@inbox.ru, ORCID 0000-0003-3062-5119
Barchitdinov R.S.– urologist of St. Petersburg Clinical Hospital of St. Luke, hirurk-74@mail.ru, ORCID 0000-0001-7580-6197
Lozhkin A.A. – urologist of St. Petersburg Clinical Hospital of St. Luke, lozhkinaleksey@yandex.ru, ORCID 0000-0002-0487-013Х
Katunin A.S. – urologist of St. Petersburg Clinical Hospital of St. Luke, aleksandrkatunin@gmail.com, ORCID 0000-0003-3676-6246
Mirzabekov M.M.– urologist of St. Petersburg Clinical Hospital of St. Luke, muramura450h@gmail.com, ORCID 0000-0001-5792-1589
Nikolaev N.M. – urologist of St. Petersburg Clinical Hospital of St. Luke, nnm.spb@mail.ru, ORCID 0000-0002-6364-7296
Trufanov G.S. – urologist of St. Petersburg Clinical Hospital of St. Luke, gorik_muv@mail.ru, ORCID 0000-0001-5792-1589
Hozrevanidze D.D. – urologist of St. Petersburg Clinical Hospital of St. Luke, dimaur82@rambler.ru, ORCID 0000-0003-1306-5244
1189
Introduction. The safety of anesthetic management in endovascular surgery for cancer and prostate adenoma is an important factor for the successful surgery and postoperative period.
The purpose of this study is the comparative study of perioperative hemodynamic changes and the probability of developing postoperative cognitive dysfunction in the surgical treatment of prostate cancer and BPH using laparoscopic radical prostatectomy and laparoscopic adenomectomy, respectively, under conditions of general endotracheal and epidural anesthesia.
The research method was the analysis of perioperative changes in central hemodynamics and the results of neuropsychological testing during the prostate cancer and BPH treatment using laparoscopic surgery in 166 patients of the St. Petersburg State Budgetary Healthcare Institution Clinical Hospital of St. Luke.
Results. A key negative consequence of general endotracheal anesthesia and carboxyperitoneum in laparoscopic interventions is stroke volume decrease, that leads to myocardial ischemia, total peripheral vascular resistance and blood pressure increase – factors that form pressure overload and left ventricular heart failure. Hemodynamic instability, as well as the neurotoxic effects of general anesthetics, can cause postoperative cognitive deficits.
Conclusion. The use of epidural anesthesia in the considered situations allows to increase the safety degree of surgical interventions in urology due to, first of all, preventing marked disorders in central hemodynamics through blocking autonomic effects on the vascular walls, reducing TPR (total peripheral resistance) and increasing venous return to the right heart departments, and the absence of pharmacological suppression of myocardial contractility. Secondly owing to the reduction of postoperative cognitive dysfunction probability in conditions with stable hemodynamics and the absence of neurotoxic effects of general anesthetics.
Conflict of interest. The authors declare no conflict of interest.
laparoscopic radical prostatectomy, laparoscopic adenomectomy, general endotracheal anesthesia, decrease in stroke volume of the heart, increase in total peripheral vascular resistance, postoperative cognitive dysfunction, epidural anesthesia
5-year impact factor of Russian science citation index from 15.01.2020 - 0,723
10-year H-index 21
Included in the Russian Science Citation Index (RSCI)
ISSN print 2222-8543 ISSN online 2712-8571
The journal is included in the List of Russian peer-reviewed scientific journals which should publish the main scientific results of dissertations for the degrees of Doctor and PhD of sciences
Поиск
International Classification
Сайт журнала "Экспериментальная и клиническая урология" содержит материалы
медицинского характера, предназначенные исключительно для работников
здравоохранения.
Подтвердите, пожалуйста, что Вы являетесь медицинским работником с соответствующим
дипломом или студентом медицинского образовательного учреждения.