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Updated: May 9, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
[Current strategies to minimize of blood loss during radical prostatectomy]
Christof M Strang1, Thomas Hachenberg
1Klinikfür Anaesthesiologie und Intensivtherapie der Universität Magdeburg. Christof.Strang@med.ovgu.de
Abstract:
Prostate cancer is a frequently diagnosed cancer in men with a high incidence. Despite enhancements of surgical techniques in prostatectomyperioperative blood loss is still the most frequent complication. Controlled hypotension (MAP 60-70mmHg) consisting of thoracal epidural anaesthesia und restrictive fluid management is a safe method to minimize blood loss. 25 degrees Trendelenburg position supports the multimodal treatment of controlled hypotension. Tranexamic acid is a safe drug to treat hyperfibrinolysis during prostate resection.
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