Our anesthesia experience of a patient with pneumonectomy undergoing robotic prostatectomy surgery [Pnömonektomili hastada robotik prostatektomi anestezi deneyimimiz]

Many operations can be done as robotics thanks to technological advances. with the widespread use of robotic surgery,patients with comorbid pathology and surgical indication can be operated. deep trendelenburg (45°) position and pneumoperitoneum used during robotic surgery causes systemic changes that makes anesthetic management spesific. in current literature there are a few cases related to laparoscopic surgery that includes robotic surgery with lung problems. our patient,a 65-years-old male,pneumonectomized 10 years ago due to lung cancer and treated with gamma knife 4 years ago for brain metastasis. there was no significant value other than preoperative breathing test's forced vital capaicty was fvc:1,52 (39%) first second expiratory voume was fev1:1,32 (43%). after anesthesia induction desflurane,remifantanyl and o2/air was used. breath rate was increased if end tidal co2 was above 50 mmhg or in blood gase paco2 was elevated. with a careful follow up and monitorisation the procedure was completed without any complication and the patient was discharged after 3 days. in this case report we aim to share our experience of anesthetic management for robotic prostatectomy on a patient who had performed right pneumonectomy.