Evaluation of perioperative lung ultrasound scores in robotic radical prostatectomy: prospective observational study

• DOI: 10.1007/s11701-025-02272-x
• Publication Date: 2025-03-11T17:28:05Z
• Authors: İrem Vuran Yaz; Emre Sertaç Bingül; Mert Canbaz; Evren Aygün; Mehmet Öner Şanlı; Faruk Özcan; Meltem Savran Kar...

Abstract Robotic major abdominal surgeries are popular worldwide, yet very few clinical studies have investigated the effects of robotic surgery setup on respiratory outcomes. In this prospective observational study, it is aimed to demonstrate change in ultrasonographic condition lungs throughout and its relation with radical prostatectomy patients without any preexisting lung or cardiac pathology were enrolled study. Lung ultrasound score (LUS) was chosen evaluate perioperatively three different time points that as follows: 5 min after intubation (T1), before extubation (T2), 30 (T3). Blood gas analyses made at same points. Primary outcome LUS comparing T3 versus T1. Secondary outcomes included intraoperative LUS, severe postoperative pulmonary complication incidence, unplanned intensive care unit (ICU) admission comparison oxygenation via PaO 2 /FiO , sensitivity/specificity for determining ICU admission. Total 48 analyzed. significantly higher than T1 T2 highest amongst (15.5 [6, 25] vs 8.5 [4, 20] 20.5 [13, 30], respectively, p < 0.01). Pre-extubation who admitted not (23.5 [17, 30] 20 27], = 0.03). ratio did among groups ( 0.14). ROC curve T2LUS showed 67% sensitivity 85% specificity a cut-off value 22.5 (AUC 0.73 [0.516, 0.937], 0.04). worsened surgery, deoxygenation PPC observed. On other hand, pre-extubation may be used determine possible patients. Clinical trial registry: This study prospectively registered Clinicaltrials.gov (NCT05528159).