Awake Robot-Assisted Laparoscopic Prostatectomy under Neuraxial Anaesthesia and Intermediate Cervical Plexus Block

Abstract

Prostate cancer is the most common cancer in men, with surgery being the primary treatment.Neuraxial anaesthesia for laparoscopic prostatectomy is a viable and safe approach, offering reduced postoperative pain and fewer minor complications compared to the same procedure under general anaesthesia.We report the case of a 77-year-old patient who underwent an 'awake' robotassisted laparoscopic prostatectomy using a combination of ultrasound-guided intermediate cervical plexus block and neuraxial (thoracic spinal) anaesthesia.A sacral erector spinae plane block was performed at the end of the procedure for postoperative pain management.