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Robotic Surgery

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Basic Clinical Anesthesia

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Abstract

The practice of surgery continues to evolve as physicians advance surgical techniques to improve patient outcomes and safety. Patients with significant medical comorbidities often present to the operating room, in whom anesthetic management and postoperative recovery are usually more complicated. Minimally invasive surgery is becoming the standard of care in these patients, and robotic-assisted surgery can be considered as an evolution of minimally invasive surgery. Robotic surgery has several anticipated benefits and disadvantages as listed in Table 48.1. As more surgeries evolve into robotic-assisted surgeries, anesthesiologists should have a basic knowledge of the procedures as well as the robotic devices in order to formulate an anesthetic plan and provide appropriate patient care.

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Further Reading

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, University of Pittsburgh Medical Center, 200 Lothrop Street, Suite C-200, Pittsburgh, PA, USA

    Kyle Smith M.D. & Raymond M. Planinsic M.D.

Authors
  1. Kyle Smith M.D.
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  2. Raymond M. Planinsic M.D.
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Corresponding author

Correspondence to Raymond M. Planinsic M.D. .

Editor information

Editors and Affiliations

  1. Department of Anesthesia and Perioperative Medicine, Emerson Hospital (former faculty Brigham and Women’s Hospital, Harvard Medical School), Concord, Massachusetts, USA

    Paul K. Sikka

  2. Associate Professor, Associate Residency Program Director, Director of Trauma Anesthesiology, Department of Anesthesiology-Presbyterian Hospital, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

    Shawn T. Beaman

  3. Chair, Department of Anesthesia and Perioperative Medicine, Emerson Hospital; Associate Professor, Northeastern University, Boston, MA (former faculty Brigham and Women’s Hospital, Harvard Medical School), Concord, Massachusetts, USA

    James A. Street

Clinical Review

Clinical Review

  1. 1.

    Compared to traditional open surgeries, robotic-assisted surgeries have

    1. A.

      Similar blood loss

    2. B.

      Similar pain medication requirements

    3. C.

      Similar cosmetic results

    4. D.

      Faster recovery times

  2. 2.

    All of the following are true statements regarding robotic-assisted surgery, EXCEPT

    1. A.

      The robot is large and once in place is fixed in position.

    2. B.

      Air is used for intraoperative insufflation.

    3. C.

      The operating room size generally has to be bigger to accommodate the robot.

    4. D.

      The surgeon has loss of touch sensation while performing the surgery.

  3. 3.

    A 58-year-old patient is undergoing a robotic-assisted radical prostatectomy under general anesthesia. Anesthesia is best maintained by

    1. A.

      Oxygen, nitrous oxide, and an inhalational agent

    2. B.

      Oxygen, air, and an inhalational agent

    3. C.

      Oxygen, air, inhalational agent, and a muscle relaxant

    4. D.

      Oxygen, air, inhalational agent, and a propofol infusion

Answers: 1. D, 2. B, 3. C

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© 2015 Springer Science+Business Media New York

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Smith, K., Planinsic, R.M. (2015). Robotic Surgery. In: Sikka, P., Beaman, S., Street, J. (eds) Basic Clinical Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1737-2_48

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  • DOI: https://doi.org/10.1007/978-1-4939-1737-2_48

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1736-5

  • Online ISBN: 978-1-4939-1737-2

  • eBook Packages: MedicineMedicine (R0)

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