Patinet status after radical prostatectomia assessing various methods of anesthesia.

Key words: radical prostatectomy; epidural analgesia; parenteral analgesia. Radical prostatectomy is presently most often chosen option for prostate cancer treatment. Study of complications after the surgery is important to evaluate morbidity. As well as anesthetic choice evaluation to improve patient status after major procedure. Purpose of this study was to establish patient status after radical prostatectomy assessing different methods of anesthesia. Aiming analysis of validity of PEA after radical prostatectomy we compared EA with pain status after surgery with other anesthesia methods during the procedure. To obtain significant results we analyzed differences in patient status after radical prostatectomy with EA, GA, SA, assessed analgesia requirements after surgery in each of the anesthetic groups, assessed PEA course, postoperative pain level and additional analgesia requirements. Data for assessment collected from archives that included: age, operation risk, hours in ICU, hours in operating room, anesthesia duration after operation, analgetics, additional analgetics, pain level, hospitalization duration, first analgetic injection time. Examination of values from inpatients was done by retrospective study in number of patients was 33 placed into 3 groups: EA group (n=10), SA group (n=12) and GA group (n=11). Analyzing patient’s status after radical prostatectomy we compared operating room stay of each group which revealed longest time in operation room stay in GA group (3.47) and shortest in SA group (2.06). Relationship between hours spent in ICU and time of operating room stay showed that highest rates in ICU time along with OR time was found in GA group (ICU time-7.70) and lowest value were in SA group (ICU time-5.21). There was no significance found on ICU hours and hospitalization time. Pain level in EA group of patients after injection of epidural analgesia was significantly lower although still almost all the patients needed parenteral analgetic injections