Факторы риска повышения внутриглазного давления и повреждения глаз во время робот-ассистированной простатэктомии

Рак простаты остается самым распространенным урологическим злокачественным новообразованием, а робот-ассистированная радикальная простатэктомия является самым эффективным вариантом лечения. Специальные условия проведения операции (положение Тренделенбурга) влияют на внутриглазное давление.

Цель: систематизировать новые данные об изменениях внутриглазного давления при робот-ассистированной радикальной простатэктомии в условиях различных видов общей анестезии.

Материал и методы: обзор литературы проведен с использованием поисковой системы PubMed в электронных базах данных Medline, Embase, Cochrane Library по август 2020 г.

Результаты. В общей сложности включено 9 исследований, в том числе рандомизированное контролируемое. Робот-ассистированная радикальная простатэктомия может быть безопасной операцией в отношении периоперационных изменений внутриглазного давления и офтальмологических осложнений.

Выводы. Обзор предлагает первую оценку изменений внутриглазного давления при робот-ассистированной радикальной простатэктомии. Дальнейшие исследования с более длительным периодом наблюдения необходимы для определения клинической эффективности и безопасности различных видов общей анестезии. 

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