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Case study 7: Robotic-Assisted Laparoscopic Surgery 

A 72-year-old man with biopsy-proven carcinoma of the prostate had a prostate-specific antigen (PSA) of 22 ng per mL but negative pelvic computed tomography (CT) and bone scans. Patient presents for a laparoscopic robotic prostatectomy. (Pt will be in lithotomy position). He weighs 120 kg and baseline BP 150/90. Despite hypertension, a 50 pack-year smoking history, and recent surgery for retinal detachments, he was vigorous and active. He chose to be treated surgically. Medications include: Lisinopril and continues to smoke daily.

1. Description of the surgical case
2. What is the incidence of carcinoma of the prostate?
3. How is prostate cancer diagnosed?
4. How is prostate cancer treated?
5.  Define laparoscopy.
6. Describe the development of robotic-assisted laparoscopy.
7. What are the advantages and disadvantages of laparoscopy?
8. What are the differences in pulmonary function after laparoscopic cholecystectomy compared with open cholecystectomy?
9. What are the contraindications to laparoscopic surgery? Is pregnancy a contraindication to laparoscopic surgery?
10. Anesthetic implications for planned procedure (BULLETED format - prioritize) (Use as many bullets as needed) Please use Barash, Nagelhout, Miller textbook for anesthetic implications and Jaffee textbook for surgical implications.
11. Description of surgery to be performed (BRIEF synopsis)