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Anesthesia for Robotic Surgery

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Robotic Surgery for Abdominal Wall Hernia Repair

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Abstract

Robotic surgery is a minimally invasive technique that is growing very fast and the anesthesiologist must know the specific aspects, be familiar with the diagnosis, and be able to treat any complication intraoperatively. There are some technical issues to be discussed regarding anesthesia in this type of approach: physiological changes during the procedure that can affect the whole body, patient’s positioning and alterations, and the overall complications. This chapter describes these issues and specific conditions.

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References

  1. Perrin M, Fletcher A. Laparoscopic abdominal surgery. Contin Educ Anaesthesia Crit Care Pain. 2004;4(4):107–10.

    Article  Google Scholar 

  2. Nguyen NT, Cronan M, Braley S, Rivers R, Wolfe BM. Duplex ultrasound assessment of femoral venous flow during laparoscopic and open gastric bypass. Surg Endosc. 2003;17(2):285–90.

    Article  CAS  PubMed  Google Scholar 

  3. Nguyen NT, Perez RV, Fleming N, Rivers R, Wolfe BM. Effect of prolonged pneumoperitoneum on intraoperative urine output during laparoscopic gastric bypass. J Am Coll Surg. 2002;195(4):476–83.

    Article  PubMed  Google Scholar 

  4. Ali NA, Eubanks WS, Stamler JS, Gow AJ, Lagoo-Deenadayalan SA, Villegas L, et al. A method to attenuate pneumoperitoneum-induced reductions in splanchnic blood flow. Ann Surg. 2005;241(2):256–61.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Joris JL, Noirot DP, Legrand MJ, Jacquet NJ, Lamy ML. Hemodynamic changes during laparoscopic cholecystectomy. Anesth Analg. 1993;76(5):1067–71.

    Article  CAS  PubMed  Google Scholar 

  6. Rasmussen JP, Dauchot PJ, DePalma RG, Sorensen B, Regula G, Anton AH, et al. Cardiac function and hypercarbia. Arch Surg. 1978;113(10):1196–200.

    Article  CAS  PubMed  Google Scholar 

  7. Westerband A, Van De Water J, Amzallag M, Lebowitz PW, Nwasokwa ON, Chardavoyne R, et al. Cardiovascular changes during laparoscopic cholecystectomy. Surg Gynecol Obstet. 1992;175(6):535–8.

    CAS  PubMed  Google Scholar 

  8. Windberger UB, Auer R, Keplinger F, Langle F, Heinze G, Schindl M, et al. The role of intra-abdominal pressure on splanchnic and pulmonary hemodynamic and metabolic changes during carbon dioxide pneumoperitoneum. Gastrointest Endosc. 1999;49(1):84–91.

    Article  CAS  PubMed  Google Scholar 

  9. Schilling MK, Redaelli C, Krahenbuhl L, Signer C, Buchler MW. Splanchnic microcirculatory changes during CO2 laparoscopy. J Am Coll Surg. 1997;184(4):378–82.

    CAS  PubMed  Google Scholar 

  10. Fleisch MC, Bremerich D, Schulte-Mattler W, Tannen A, Teichmann AT, Bader W, et al. The prevention of positioning injuries during gynecologic operations. Guideline of DGGG (S1-Level, AWMF Registry No. 015/077, February 2015). Geburtshilfe Frauenheilkd. 2015;75(8):792–807.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. American Society of Anesthesiologists Task Force on Prevention of Perioperative Peripheral N. Practice advisory for the prevention of perioperative peripheral neuropathies: an updated report by the American Society of Anesthesiologists Task Force on prevention of perioperative peripheral neuropathies. Anesthesiology. 2011;114(4):741–54.

    Article  Google Scholar 

  12. Knight DJ, Mahajan RP. Patient positioning in anaesthesia. Contin Educ Anaesthesia Crit Care Pain. 2004;4(5):160–3.

    Article  Google Scholar 

  13. Bedient CE, Magrina JF, Noble BN, Kho RM. Comparison of robotic and laparoscopic myomectomy. Am J Obstet Gynecol. 2009;201(6):566 e1–5.

    Article  Google Scholar 

  14. Van Appledorn S, Bouchier-Hayes D, Agarwal D, Costello AJ. Robotic laparoscopic radical prostatectomy: setup and procedural techniques after 150 cases. Urology. 2006;67(2):364–7.

    Article  PubMed  Google Scholar 

  15. Hirvonen EA, Nuutinen LS, Kauko M. Hemodynamic changes due to Trendelenburg positioning and pneumoperitoneum during laparoscopic hysterectomy. Acta Anaesthesiol Scand. 1995;39(7):949–55.

    Article  CAS  PubMed  Google Scholar 

  16. Weber ED, Colyer MH, Lesser RL, Subramanian PS. Posterior ischemic optic neuropathy after minimally invasive prostatectomy. J Neuroophthalmol. 2007;27(4):285–7.

    Article  PubMed  Google Scholar 

  17. Hoshikawa Y, Tsutsumi N, Ohkoshi K, Serizawa S, Hamada M, Inagaki K, et al. The effect of steep Trendelenburg positioning on intraocular pressure and visual function during robotic-assisted radical prostatectomy. Br J Ophthalmol. 2014;98(3):305–8.

    Article  PubMed  Google Scholar 

  18. Lee M, Dallas R, Daniel C, Cotter F. Intraoperative management of increased intraocular pressure in a patient with glaucoma undergoing robotic prostatectomy in the Trendelenburg position. A A Case Rep. 2016;6(2):19–21.

    Article  PubMed  Google Scholar 

  19. Chin JH, Seo H, Lee EH, Lee J, Hong JH, Hwang JH, et al. Sonographic optic nerve sheath diameter as a surrogate measure for intracranial pressure in anesthetized patients in the Trendelenburg position. BMC Anesthesiol. 2015;15:43.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Shveiky D, Aseff JN, Iglesia CB. Brachial plexus injury after laparoscopic and robotic surgery. J Minim Invasive Gynecol. 2010;17(4):414–20.

    Article  PubMed  Google Scholar 

  21. Hsu RL, Kaye AD, Urman RD. Anesthetic challenges in robotic-assisted urologic surgery. Rev Urol. 2013;15(4):178–84.

    PubMed  PubMed Central  Google Scholar 

  22. Baltayian S. A brief review: anesthesia for robotic prostatectomy. J Robot Surg. 2008;2(2):59.

    Article  PubMed  Google Scholar 

  23. Batley SE, Prasad V, Vasdev N, Mohan SG. Post-operative pain management in patients undergoing robotic urological surgery. Curr Urol. 2016;9(1):5–11.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Akca O, Lenhardt R, Fleischmann E, Treschan T, Greif R, Fleischhackl R, et al. Nitrous oxide increases the incidence of bowel distension in patients undergoing elective colon resection. Acta Anaesthesiol Scand. 2004;48(7):894–8.

    Article  CAS  PubMed  Google Scholar 

  25. Kopman AF, Naguib M. Laparoscopic surgery and muscle relaxants: is deep block helpful? Anesth Analg. 2015;120(1):51–8.

    Article  CAS  PubMed  Google Scholar 

  26. Joshi GP. Intraoperative fluid restriction improves outcome after major elective gastrointestinal surgery. Anesth Analg. 2005;101(2):601–5.

    Article  PubMed  Google Scholar 

  27. Bleier JI, Aarons CB. Perioperative fluid restriction. Clin Colon Rectal Surg. 2013;26(3):197–202.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Campos JH. An update on robotic thoracic surgery and anesthesia. Curr Opin Anaesthesiol. 2010;23(1):1–6.

    Article  PubMed  Google Scholar 

  29. Kosarek L, Busch E, Abbas A, Falterman J, Nossaman BD. Effective use of bronchial blockers in lung isolation surgery: an analysis of 130 cases. Ochsner J. 2013;13(3):389–93.

    PubMed  PubMed Central  Google Scholar 

  30. Hosten T, Topcu S. The importance of bronchoscopic anatomy for anesthesiologists. Tuberk Toraks. 2011;59(4):416–26.

    Article  PubMed  Google Scholar 

  31. Zhang Y, Wang S, Sun Y. Anesthesia of robotic thoracic surgery. Ann Transl Med. 2015;3(5):71.

    PubMed  PubMed Central  Google Scholar 

  32. Hans S, Delas B, Gorphe P, Menard M, Brasnu D. Transoral robotic surgery in head and neck cancer. Eur Ann Otorhinolaryngol Head Neck Dis. 2012;129(1):32–7.

    Article  CAS  PubMed  Google Scholar 

  33. Nair I, Bailey PM. Use of the laryngeal mask for airway maintenance following tracheal extubation. Anaesthesia. 1995;50(2):174–5.

    Article  CAS  PubMed  Google Scholar 

  34. Difficult Airway Society Extubation Guidelines G, Popat M, Mitchell V, Dravid R, Patel A, Swampillai C, et al. Difficult Airway Society Guidelines for the management of tracheal extubation. Anaesthesia. 2012;67(3):318–40.

    Article  Google Scholar 

  35. Baraka AS. Tension pneumothorax complicating jet ventilation via a cook airway exchange catheter. Anesthesiology. 1999;91(2):557–8.

    Article  CAS  PubMed  Google Scholar 

  36. Garg T, Bazzi WM, Silberstein JL, Abu-Rustum N, Leitao MM Jr, Laudone VP. Improving safety in robotic surgery: intraoperative crisis checklist. J Surg Oncol. 2013;108(3):139–40.

    Article  PubMed  Google Scholar 

  37. Lee LC. Cardiopulmonary collapse in the wake of robotic surgery. AANA J. 2014;82(3):231–4.

    PubMed  Google Scholar 

  38. Ahmad A, Ahmad ZF, Carleton JD, Agarwala A. Robotic surgery: current perceptions and the clinical evidence. Surg Endosc. 2017 Jan;31(1):255–263.

    Google Scholar 

  39. Kilic OF, Borgers A, Kohne W, Musch M, Kropfl D, Groeben H. Effects of steep Trendelenburg position for robotic-assisted prostatectomies on intra- and extrathoracic airways in patients with or without chronic obstructive pulmonary disease. Br J Anaesth. 2015;114(1):70–6.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, University of São Paulo School of Medicine, São Paulo, Brazil

    Claudia Marquez Simões

  2. Sao Paulo Cancer Institute at University of Sao Paulo, São Paulo, Brazil

    Claudia Marquez Simões

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  1. Claudia Marquez Simões
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Correspondence to Claudia Marquez Simões .

Editor information

Editors and Affiliations

  1. Department of Gastroenterology, University of São Paulo School of Medicine, São Paulo, Brazil

    Ricardo Z. Abdalla

  2. Department of Gastroenterology, University of São Paulo School of Medicine, São Paulo, Brazil

    Thiago Nogueira Costa

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Simões, C.M. (2018). Anesthesia for Robotic Surgery. In: Abdalla, R., Costa, T. (eds) Robotic Surgery for Abdominal Wall Hernia Repair. Springer, Cham. https://doi.org/10.1007/978-3-319-55527-0_13

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  • DOI: https://doi.org/10.1007/978-3-319-55527-0_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55526-3

  • Online ISBN: 978-3-319-55527-0

  • eBook Packages: MedicineMedicine (R0)

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