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Perioperative Considerations

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Robotic Approaches to Colorectal Surgery

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Abstract

Perioperative assessment in robotic colorectal surgery involves consideration of the patient, surgeon, and circumstances unique to robotics. Surgeons experience a learning curve so proper surgeon education is critical for optimizing outcomes. Patient selection is also essential to maximizing the benefits of the robotic surgery. This requires careful evaluation of robotic surgical indications and an understanding of the physiological effects of pneumoperitoneum. Finally, practitioners must understand the special considerations of robotics including docking, the lack of tactile feedback, the potential for peripheral nerve damage due to patient positioning and prolonged operative times, and the high operating and maintenance costs.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Massachusetts Medical Center, 67 Belmont Street, Worcester, MA, 01605, USA

    Aneel Damle M.D., M.B.A.

  2. Division of Colon and Rectal Surgery, Department of Surgery, University of Massachusetts Medical Center, 67 Belmont Street, Worcester, MA, 01605, USA

    Justin A. Maykel M.D.

Authors
  1. Aneel Damle M.D., M.B.A.
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  2. Justin A. Maykel M.D.
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Corresponding author

Correspondence to Justin A. Maykel M.D. .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Temple University Health System, Philadelphia, Pennsylvania, USA

    Howard Ross

  2. Keck School of Medicine, University of Southern California, Los Angels, California, USA

    Sang Lee

  3. Division of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, USA

    Bradley J. Champagne

  4. University of California, Irvine Orange, California, USA

    Alessio Pigazzi

  5. Hofstra School of Medicine, North Shore-LIJ Health System,Huntington Hospital, Woodbury, New York, USA

    David E. Rivadeneira

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© 2015 Springer International Publishing Switzerland

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Damle, A., Maykel, J.A. (2015). Perioperative Considerations. In: Ross, H., Lee, S., Champagne, B., Pigazzi, A., Rivadeneira, D. (eds) Robotic Approaches to Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-09120-4_4

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  • DOI: https://doi.org/10.1007/978-3-319-09120-4_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09119-8

  • Online ISBN: 978-3-319-09120-4

  • eBook Packages: MedicineMedicine (R0)

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