#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Robot-assisted laparoscopic surgery from the anaesthesiologist’s perspective


Authors: Jurenka Božetěch 1;  Lásziková Eva 1;  Köhler Otto 2;  Langer Daniel 3;  Balcárek Lukáš 1;  Henlín Tomáš 1;  Netuková Daniela 1;  Ryska Miroslav 3
Authors‘ workplace: Anesteziologicko-resuscitační oddělení ÚVN Praha 1;  Urologické oddělení ÚVN Praha 2;  Chirurgická klinika 2. LF UK Praha a ÚVN Praha 3
Published in: Anest. intenziv. Med., 20, 2009, č. 1, s. 8-12
Category: Anaesthesiology - Review Article

Overview

Robot-assisted laparoscopic surgery is a new and rapidly developing technology of the last decade. The surgeon takes advantage of the 3D surgical field imaging and manipulation scope beyond the capability of the current laparoscopic instruments. An uncomplicated course of robotic surgery significantly shortens the length of hospital stay compared to standard open surgery. On the other hand a robotic surgical system carries high acquisition and operating costs.

It remains to be seen whether robot-assisted surgical procedures are safe and minimal-invasive even in patients with multiple comorbidities.

Keywords:
Da Vinci Robotic Surgical System® – pathophysiology – perioperative stress – anaesthetic management – postoperative care – minimal invasive


Sources

1. Larsen, J. F., Svendsen, F. M., Pedersen, V. Randomized clinical trial of the effect of pneumoperitoneum on cardiac function and haemodynamics during laparoscopic cholecystectomy. British Journal of Surgery, 2004, 91, 7, p. 848–854.

2. Falabella, A., Moore-Jeffries, E., Sullivan, M. J., Nelson, R., Lew, M. Cardiac function during steep Trendelenburg position and CO2 pneumoperitoneum for robotic-assisted prostatectomy: a transeopahageal Doppler probe study. The International Journal of Medical Robotics Assisted Surgery, 2008, 3, 4, p. 312–315.

3. Streich, B., Decailliot, F., Perney, C., Duvaldestin, P. Increased carbon dioxide absorption during retroperitoneal laparoscopy. BJA, 2003, 91, p. 793–796.

4. Phong, S. V., Koh, L. K. Anaesthesia for robotic-assisted radical prostatectomy: considerations for laparoscopy in the Trendelenburg position. Anaesthesia and Intensive Care, 2007, 35, 2, p. 281–285.

5. Patel, V. R., Chammas, F.M. jr., Shah, S. Robotic assisted laparoscopic radical prostatectomy: a review of the current state of the affairs. International Journal of Clinical Practice, 2007, 61, 2, p. 309–314.

6. Link, R. E. et al. A Prospective Comparison of Robotic and Laparoscopic Pyeloplasty. Annals of Surgery, 2006, 243, 4, p. 486–491.

7. Scales, C. D., Charles, D. et al. Local cost structures and the economics of robot assisted radical prostatectomy. Journal of Urology, 2005, 174, 6, s. 2323–2329.

8. Breitenstein, S. et al. Robotic-assisted Versus Laparoscopic Cholecystectomy: Outcome and Cost Analyses of a Case-matched Control Study. Annals of Surgery, 2008, 247, 6, p. 987–993.

Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#