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Anesthesia for Robotic Thoracic Surgery

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Book cover Principles and Practice of Anesthesia for Thoracic Surgery

Abstract

The management of the robotic thoracic surgical patient requires the knowledge of minimally invasive surgery techniques involving the chest. Familiarity with the da Vinci® robot surgical system by the anesthesiologist is mandatory. Management of one-lung ventilation techniques with a left-sided double-lumen endotracheal tube or an independent bronchial blocker is required, along with flexible fiberoptic bronchoscopy techniques. Patient positioning and prevention of complications such as nerve or crashing injuries while the robotic system is used. Recognition of the hemodynamic effects of carbon dioxide (CO2) during insufflation in the chest is required. Potential for conversion to open thoracotomy or open procedure in the abdomen.

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References

  1. Tatooles AJ, Pappas PS, Gordon PJ, Slaughter MS. Minimally invasive mitral valve repair using the da Vinci robotic system. Ann Thorac Surg. 2004;77:1978–82.

    Article  PubMed  Google Scholar 

  2. Nifong LW, Chitwood WR, Pappas PS, Smith CR, Argenziano M, Starnes VA, et al. Robotic mitral valve surgery: a United States multicenter trial. J Thorac Cardiovasc Surg. 2005;129:1395–404.

    Article  PubMed  Google Scholar 

  3. Rea F, Marulli G, Bortolotti L, Feltracco P, Zuin A, Sartori F. Experience with the “da Vinci” robotic system for thymectomy in patients with myasthenia gravis. Ann Thorac Surg. 2006;8:455–9.

    Article  Google Scholar 

  4. Savitt MA, Gao G, Furnary AP, Swanson J, Gately HL, Handy JR. Application of robotic-assisted techniques to the surgical evaluation and treatment of the anterior mediastinum. Ann Thorac Surg. 2005;79:450–5.

    Article  PubMed  Google Scholar 

  5. Kernstine KH, DeArmond DT, Shamoun DM, Campos JH. The first series of completely robotic esophagectomies with three-field lymphadenectomy: initial experience. Surg Endosc. 2007;21:2285–92.

    Article  PubMed  CAS  Google Scholar 

  6. Mack MJ. Minimally invasive and robotic surgery. JAMA. 2001;285:568–72.

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  Google Scholar 

  8. Bodner J, Wykypiel H, Wetscher G, Schmid T. First experiences with the da Vinci operating robot in thoracic surgery. Eur J Cardiothorac Surg. 2004;25:844–51.

    Article  PubMed  CAS  Google Scholar 

  9. Rückert JC, Ismail M, Swierzy M, Sobel H, Rogalla P, Meisel A, et al. Thoracoscopic thymectomy with the da Vinci robotic system for myasthenia gravis. Ann NY Acad Sci. 2008;1132:329–35.

    Article  PubMed  Google Scholar 

  10. Baraka A. Onset of neuromuscular block in myasthenic patients. Br J Anaesth. 1992;69:227–8.

    Article  PubMed  CAS  Google Scholar 

  11. Abel M, Eisenkraft JB. Anesthetic implications of myasthenia gravis. Mt Sinai J Med. 2002;69:31–7.

    PubMed  Google Scholar 

  12. Pandey R, Elakkumanan LB, Garg R, Jyoti B, Mukund C, Chandralekha, et al. Brachial plexus injury after robotic-assisted thoracoscopic thymectomy. J Cardiothorac Vasc Anesth 2009;23:584–6.

    Google Scholar 

  13. Bodner J, Wykypiel H, Greiner A, Kirchmayr W, Freund MC, Margreiter R, et al. Early experience with robot-assisted surgery for mediastinal masses. Ann Thorac Surg. 2004;78:259–65.

    Article  PubMed  Google Scholar 

  14. Park BJ, Flores RM, Rusch VW. Robotic assistance for video-assisted thoracic surgical lobectomy: technique and initial results. J Thorac Cardiovasc Surg. 2006;131:54–9.

    Article  PubMed  Google Scholar 

  15. Anderson CA, Filsoufi F, Aklog L, Farivar RS, Byrne JG, Adams DH. Robotic-assisted lung resection for malignant disease. Innovations. 2007;2:254–8.

    Google Scholar 

  16. Gharagozloo F, Margolis M, Tempesta B, Strother E, Najam F. Robot-assisted lobectomy for early-stage lung cancer: report of 100 consecutive cases. Ann Thorac Surg. 2009;88:380–4.

    Article  PubMed  Google Scholar 

  17. Campos JH. Update on tracheobronchial anatomy and flexible fiberoptic bronchoscopy in thoracic anesthesia. Curr Opin Anaesthesiol. 2009;22:4–10.

    Article  PubMed  Google Scholar 

  18. Campos JH. Progress in lung separation. Thorac Surg Clin. 2005;15:71–83.

    Article  PubMed  Google Scholar 

  19. Nifong LW, Chitwood Jr WR. Challenges for the anesthesiologist: robotics? Anesth Analg. 2003;96:1–2.

    PubMed  Google Scholar 

  20. Wolfer RS, Krasna MJ, Hasnain JU, McLaughlin JS. Hemodynamic effects of carbon dioxide insufflation during thoracoscopy. Ann Thorac Surg. 1994;58:404–7.

    Article  PubMed  CAS  Google Scholar 

  21. Ohtsuka T, Nakajima J, Kotsuka Y, Takamoto S. Hemodynamic response to intrapleural insufflation with hemipulmonary collapse. Surg Endosc. 2001;15:1327–30.

    Article  PubMed  CAS  Google Scholar 

  22. El-Dawlatly AA, Al-Dohayan A, Samarkandi A, Algahdam F, Atef A. Right vs left side thoracoscopic sympathectomy: effects of carbon dioxide insufflation on haemodynamics. Ann Chir Gynaecol. 2001;90:206–8.

    PubMed  CAS  Google Scholar 

  23. El-Dawlatly AA, Al-Dohayan A, Abdel-Meguid ME, Turkistani A, Alotaiby WM, Abdelaziz EM. Variations in dynamic lung compliance during endoscopic thoracic sympathectomy with carbon dioxide insufflation. Clin Auton Res. 2003;13 Suppl 1:I94–7.

    PubMed  Google Scholar 

  24. Kernstine KH, DeArmond DT, Karimi M, Van Natta TL, et al. The robotic, 2-stage, 3-field esophagolymphadenectomy. J Thorac Cardiovasc Surg. 2004;127:1847–9.

    Article  PubMed  Google Scholar 

  25. Bodner JC, Zitt M, Ott H, Wetscher GJ, et al. Robotic-assisted thoracoscopic surgery (RATS) for benign and malignant esophageal tumors. Ann Thorac Surg. 2005;80:1202–6.

    Article  PubMed  Google Scholar 

  26. van Hillegersberg R, Boone J, Draaisma WA, Broeders IA, et al. First experience with robot-assisted thoracoscopic esophagolymphadenectomy for esophageal cancer. Surg Endosc. 2006;20:1435–9.

    Article  PubMed  Google Scholar 

  27. Kim DJ, Hyung WJ, Lee CY, Lee JG, Haam SJ, Park IK, et al. Thoracoscopic esophagectomy for esophageal cancer: feasibility and safety of robotic assistance in the prone position. J Thorac Cardiovasc Surg. 2010;139:53–9.

    Article  PubMed  Google Scholar 

  28. Gutt CN, Bintintan VV, Köninger J, Müller-Stich BP, Reiter M, Büchler MW. Robotic-assisted transhiatal esophagectomy. Langenbecks Arch Surg. 2006;391:428–34.

    Article  PubMed  Google Scholar 

  29. Watson TJ. Robotic esophagectomy: is it an advance and what is the future? Ann Thorac Surg. 2008;85:757–9.

    Article  Google Scholar 

  30. Czibik G, D’Ancona G, Donias HW, Karamanoukian HL. Robotic cardiac surgery: present and future applications. J Cardiothorac Vasc Anesth. 2002;16:495–501.

    Article  PubMed  Google Scholar 

  31. Hubens G, Ruppert M, Balliu L, Vaneerdeweg W. What have we learnt after two years working with the da Vinci robot system in digestive surgery? Acta Chir Belg. 2004;104:609–14.

    PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesia, University of Iowa Health Care, Roy and Lucille Carver College of Medicine, Iowa City, IA, USA

    Javier Campos MD

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  1. Javier Campos MD
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Editor information

Editors and Affiliations

  1. University of Toronto, Staff Anesthesiologist, Professor of Anesthesia, Toronto, M5G 2C4, Ontario, Canada

    Peter Slinger, MD, FRCPC

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Campos, J. (2011). Anesthesia for Robotic Thoracic Surgery. In: Slinger, MD, FRCPC, P. (eds) Principles and Practice of Anesthesia for Thoracic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0184-2_31

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  • DOI: https://doi.org/10.1007/978-1-4419-0184-2_31

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-0183-5

  • Online ISBN: 978-1-4419-0184-2

  • eBook Packages: MedicineMedicine (R0)

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