Rhabdomyolyse et syndrome des loges des deux avant-bras lors d’une chirurgie robotique de longue durée

Deras, Pauline; Amraoui, Jihen; Boutin, C; Laporte, Sylvain; Ripart, Jacques

doi:10.1016/j.annfar.2010.01.018

Cited by 11 publications

(3 citation statements)

References 2 publications

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“…Short term complications include vaginal cuff abscess (18), ureterovaginal fistulas (20), and higher rates of urinary tract infection caused by extended use of Folley catheter for urinary retention (21). A rare case of rhabdomyolysis and compartment syndrome, after a 12-hour duration robotic operation, is also presented in the literature (22), showing the need for training and time managing of such operations. Although larger prospective studies as well as longer follow-up periods are necessary to clarify the long term outcomes including fertility results, pain, and quality of life, it seems that robotic management of even severe cases of endometriosis is an effective, feasible, and safe alternative in well-trained hands as it was also shown in a recent systematic review (23) and can be used without compromising the principles of open or laparoscopic operations.…”

Section: Discussionmentioning

confidence: 99%

Robotic Management of Endometriosis: Discussion of Use, Criteria and Advantages: a Review of the Literature

Gkegkes

Iavazzo

Iatrakis

et al. 2019

Acta Med. (Hradec Kralove, Czech Repub.)

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Endometriosis is a very common benign condition affecting fertility and quality of life. Different methods, either definitive or fertility sparing are used for its management by using open, laparoscopic, and robotic techniques. This is a literature review presenting the role and the advantages of robotic surgery in endometriosis. Such a management is effective, safe, and feasible in hands of well-trained multidisciplinary teams even for severe cases of endometriosis.

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Section: Discussionmentioning

confidence: 99%

Robotic Management of Endometriosis: Discussion of Use, Criteria and Advantages: a Review of the Literature

Gkegkes

Iavazzo

Iatrakis

et al. 2019

Acta Med. (Hradec Kralove, Czech Repub.)

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“…93 Additional reported risk factors were high BMI, operative time, and time in Trendelenburg position, with respect to elevations in serum creatine kinase concentrations. [91][92][93] Hypervolaemic fluid therapy was the most commonly encountered treatment strategy, with the targeted goal of urine output levels ranging from 60 mL h À1 to 200 mL h À1 . 72 93 The majority of studies noted no long-term sequelae and minimal delays to patient discharge in patients with reported rhabdomyolysis.…”

Section: Rhabdomyolysismentioning

confidence: 99%

Complications of robotic-assisted laparoscopic surgery distant from the surgical site

Maerz

Beck

Sim

et al. 2017

British Journal of Anaesthesia

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With the ever-increasing popularity of robotic-assisted laparoscopic surgery over the past decades, the literature reporting complications distant from the surgical site involving the use of this technology has also grown. The goal of this non-systematic review is to summarise these reports with a systems-based presentation of these complications. The most commonly observed complications were related to the peripheral nervous system and the most devastating occurring in cardiac and ophthalmic systems. There were no reports of patient complications directly related to the robot itself. While several of the reported complications are not unique to robotic surgery, they are included to maintain awareness of their possibility. The limitation of surgical time, judicious fluid administration, and constant vigilance of patient positioning are all recommended as possible preventative measures.

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“…Le maintien du patient à la table peut être assuré par des épaulières ou par des sangles autoagrippantes croisées sur le thorax pour éviter le glissement. L'installation nécessite de la part de toute l'équipe médico-chirurgicale et paramédicale le respect strict des modes d'installation pour éviter les complications de posture [2,9]. Des systèmes de protection spécifiques et adaptés à la morphologie du patient doivent être disponibles pour limiter le risque de compression cutanée ou nerveuse.…”

Section: Spécificités De La Coelioscopie Robotiséeunclassified

Anaesthesia and robotic surgery: general principles

Francon

2011

Oncologie

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Robot-assisted laparoscopy has exponential growth. It imposes specific exaggerated postures for procedures of long duration. Clinical recommendations for this procedure are formulated. The influence of the combined effects of the Trendelenburg position and CO2 pneumoperitoneum must be known by the anaesthesia team and combined with anticipation and protocols in order to provide safe patient care during the preand postoperative period. Mean airway pressures, pulmonary compliance, intra-abdominal pressures and adequate muscle paralysis must be monitored frequently. Intraoperative considerations must be addressed by the anaesthesiologist and communicated to the surgeon for adaptation. The anaesthesiologist and the surgeon must work as a team and make modifications as necessary in order to make safer this innovative surgical practice. To cite this journal: Oncologie 13 (2011).Résumé : La coeliochirurgie assistée par robot connaît actuellement des applications de plus en plus nombreuses, en particulier en urogynécologie pelvienne et en chirurgie digestive. Elle impose parfois des interventions de longue durée avec des installations posturales à risque de complications. Elle nécessite des procédures pré-cises et spécifiques. Le retentissement des postures déclivités et du pneumopéritoine pour les laparoscopies peut être anticipé et impose à l'anesthésiste des adaptations régulières des paramètres de prise en charge, ainsi qu'une surveillance spécifique d'éléments du monitorage (pression intra-abdominale [PIA], compliance pulmonaire, curarisation). La coopération et la communication peropératoires entre anesthésiste et chirurgien permettent de limiter les complications éventuelles de cette technique opératoire. Pour citer cette revue : Oncologie 13 (2011).

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Rhabdomyolyse et syndrome des loges des deux avant-bras lors d’une chirurgie robotique de longue durée

Cited by 11 publications

References 2 publications

Robotic Management of Endometriosis: Discussion of Use, Criteria and Advantages: a Review of the Literature

Robotic Management of Endometriosis: Discussion of Use, Criteria and Advantages: a Review of the Literature

Complications of robotic-assisted laparoscopic surgery distant from the surgical site

Anaesthesia and robotic surgery: general principles

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