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Suprascapular nerve injury during robot-assisted radical prostatectomy: a case report
1Western General Hospital, UK.
Annals of the Royal College of Surgeons of England
|February 7, 2023
Summary
Prolonged robotic surgery can cause nerve pain, particularly in obese patients. Adjusting the operating table during lengthy procedures may help prevent such complications.
Area of Science:
- Urology
- Robotic Surgery
- Neurosurgery
Background:
- Robotic-assisted radical prostatectomy is a common procedure.
- Prolonged operative times can increase the risk of patient positioning complications.
- High body mass index (BMI) may exacerbate these risks.
Observation:
- A 59-year-old male patient underwent a prolonged robotic-assisted radical prostatectomy.
- The patient developed neuropathic pain affecting the suprascapular nerve distribution post-operatively.
Findings:
- The case suggests a link between prolonged robotic surgery, patient positioning, and suprascapular nerve injury.
- High BMI in patients may be a contributing factor to nerve-related complications.
Implications:
- Surgical teams should consider readjusting the operating table during extended robotic procedures.
- Proactive patient positioning adjustments are crucial, especially for patients with high BMI.
- This highlights the need for vigilance regarding nerve-related complications in robotic surgery.
