Anesthetic considerations for robotic surgery

Lee, Jeong Rim

doi:10.4097/kjae.2014.66.1.3

Cited by 89 publications

(86 citation statements)

References 45 publications

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“…Hypothermia can occur due to prolonged operative time and should be treated aggressively using fluid warmers, warming blankets and mattresses (2). Temperature probe should be inserted not only to monitor hypothermia but also to ensure no over warming of the patient during the surgery.…”

Section: Figure 1: Preparation and Location Of The Anaesthetic Worktmentioning

confidence: 99%

“…The robot is rigidly fixed to its trocar insertion sites and over the patient's abdomen and chest or encroaching over the patients head, chest and abdomen. This invasion of the anaesthetic workplace leads to limited access to the patient's airway, monitoring devices and intravenous lines (2). After the robot has been positioned and engaged, the anaesthetists will have a very limited access to the patient.…”

Section: Figure 1: Preparation and Location Of The Anaesthetic Worktmentioning

confidence: 99%

“…Utilizing the Da VinciTM surgical robot has become a new technique for the surgeons to excise the diseased thyroid gland. Ensuring and maintaining safety to the patients are important due to the presence of bulky equipment accommodating the operation theatre (1,2). Postoperative pain management also needs a special attention and consideration in this type of surgery.…”

Section: Introductionmentioning

confidence: 99%

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Robotic-Assisted Thyroidectomy: A New Experience in Anaesthesia

Mansor

2017

JSA

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This is our first experience in providing general anaesthesia for robotic-assisted thyroidectomy (RAT). It is rather a new experience for our anaesthetic team and few issues should be addressed. The conduct of RAT must be fully understood and familiarized as it may present with few challenges for the anaesthesiologists. The key point of success during this learning curve period is the importance of teamwork between the anaesthesiologists and the operating surgeons. The specific anaesthetic challenges include limited access to the patient post-docking of the robot, the need of extra precautions of the anaesthetic circuit and IV line connections, a vigilant anaesthesiologists and options for postoperative pain relief.

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Section: Figure 1: Preparation and Location Of The Anaesthetic Worktmentioning

confidence: 99%

Section: Figure 1: Preparation and Location Of The Anaesthetic Worktmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Robotic-Assisted Thyroidectomy: A New Experience in Anaesthesia

Mansor

2017

JSA

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“…As has been described [2]- [4], robotic-assisted surgery has many implications for the anesthesiologist. Patient hemodynamics and ventilation are affected by the pneumoperitoneum and degree of trendelenburg (or reverse trendelenburg) position needed for the use of a robotic surgical system.…”

Section: Introductionmentioning

confidence: 99%

Anesthetic Implications of Robotically Assisted Surgery with the Da Vinci Xi Surgical Robot

Raytis¹,

Yuh²,

Lau³

et al. 2016

OJAnes

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“…Firstly, the wider gastrointestinal spectrum of procedures with many reconstructive steps has led to challenging learning curves with peculiar anesthetic implications. 6 Moreover, when applying criteria of Health Technology Assessment (HTA), RS has been shown to have higher costs related to the purchase and maintenance of technology and longer operating room time compared to the other approaches. 7 Lastly, the optimum level that has been achieved for some pure laparoscopic gastrointestinal techniques has caused much resistance to the development of a newer complex technology.…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal robotic surgery: challenges and developments

Becchini¹,

Annecchiarico²,

Marino³

et al. 2015

RSRR

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Abstract:The rapid diffusion of new technologies in surgery, together with high expectations of both patients and the mass media, has led to many gastrointestinal procedures being approached using robots. Robotic technology seems to resolve many of the drawbacks of laparoscopic advanced procedures, such as anastomotic reconstructions, accurate lymphadenectomy, and vascular sutures. In addition, a deeper tridimensional steady vision with excellent high definition, the EndoWrist technology offering seven degrees of freedom, tremor filtration, scaled motion, optimal working ergonomics, and avoidance of the 'fulcrum effect', are the main strengths of the da Vinci ® system. The use of near-infrared technology and the possibility of tutoring through a double-console will most likely add many more advantages of this technology over laparoscopy alone. However, none of the gastrointestinal robotic interventions has reached a level of evidence-based efficacy that enables it to be routinely applied. The main limitations of robotic gastrointestinal procedures are represented by the learning curve, the higher costs of robotic surgery compared to traditional and laparoscopic surgery, and the longer operation times, including setup and organizational troubles. Moreover, while the limits of robotics for benign diseases are mainly represented by technical issues, oncologic outcomes remain the foundation of any procedures to cure malignancies, and long-term follow-up is still lacking. On the other hand, a word of caution should be presented on the adoption of robotics in too many surgical units without the correct and formal technical background and third-party control to guarantee the best outcomes for patients at minimum risk. Therefore, the robotic treatment of gastrointestinal diseases requires a thorough analysis of the published evidence, in order to determine the correct indications and patient selection. This review aims to examine the evidence for the use of robotic surgery in both malignancies and benign disease arising from the gastrointestinal area. Future developments in robotics and ongoing areas of research are also analyzed.

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Anesthetic considerations for robotic surgery

Cited by 89 publications

References 45 publications

Robotic-Assisted Thyroidectomy: A New Experience in Anaesthesia

Robotic-Assisted Thyroidectomy: A New Experience in Anaesthesia

Anesthetic Implications of Robotically Assisted Surgery with the Da Vinci Xi Surgical Robot

Gastrointestinal robotic surgery: challenges and developments

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