129 Short Report Corresponding author: Ratikorn Boonchai, M.D. Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. E-mail: r.boonyasith@gmail.com doi: 10.31584/psumj.2022254069 https://he01.tci-thaijo.org/index.php/PSUMJ/ PSU Med J 2022;2(3):129-135 Received 21 January 2022 Revised 9 April 2022 Accepted 12 April 2022 Published online 28 September 2022 Anesthetic Implications of Robotic-Assisted Radical Prostatectomy in a Patient with Immune Thrombocytopenia: a Case Report Pannawit Benjhawaleemas, M.D. 1 , Tanan Bejrananda, M.D. 2 , Chanatthee Kitsiripant, M.D. 1 , Chutida Sungworawongpana, M.D. 1 , Ratikorn Boonchai, M.D. 1 , Sarayuth Boonchai, M.D. 2 1 Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. 2 Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. ABSTRACT We report the frst case of a robotic-assisted radical prostatectomy (RARP) operation at Songklanagarind Hospital. The patient was diagnosed with prostatic adenocarcinoma. He also had underlying immune thrombocytopenia (ITP) and suspected previous pulmonary tuberculosis. General anesthesia with an endotracheal tube was the choice of anesthesia. This article discusses specifc considerations regarding robotic surgery and the patient’s condition. The operation was successful; it took about 160 minutes longer, incurred 200 ml more of blood loss, but it led to an equal length of hospital stay compared to the data from another tertiary hospital in Thailand. A minor complication was a pressure sore on the patient’s shoulder, conceivably due to the shoulder braces. Keywords: anesthesia in robotic surgery; case report; da Vinci Xi; immune thrombocytopenia; prostatic adenocarcinoma; robotic-assisted radical prostatectomy