Lagarda‑Cuevas J, Ramírez‑Celis JC, Bermúdez‑Ochoa MG, Rodríguez‑Zepeda JM, Juárez‑Pichardo S, Hernández‑Pérez AL, Aguilar JE, Ruiz-Díaz de León J

Language: Spanish
References: 28
Page: 302-306
PDF size: 258.72 Kb.

ABSTRACT

Robotic assisted surgery is a relatively new surgical procedure in our country. However, this type of procedure is already common around the world especially in developed countries where the experience is high. The indications to perform these procedures have been extended in terms of specialties that can perform them as well as the type of patient that can be scheduled to it. Initially robotic assisted surgeries were primarily used in urologic patients but currently it is being used in minimally invasive thoracic, oncological and general surgeries. Therefore, is important to know the physiological changes that these procedures cause in the anesthetized patient in order to successfully conduct the anesthetic plan. In the following article we present a case of robot assisted urological surgery (radical prostatectomy) followed by a literature review of the anesthetic considerations for this type of procedure.

REFERENCES

1. Schuessler WW, Schulman PG; Clayman RV. Laparoscopic radical prostatectomy: initial short-term experience. Urology. 1997;50:854-857.

2. Guillonneau B; Cathelineau X, Barret E. Laparoscopic radical prostatectomy. Preliminary evaluation after 28 interventions. Press Med. 1998;27:1570-1574.

3. Schiff J, Li PS, Goldstein M. Robotic microsurgical vasovasostomy and vasoepididymostomy: a prospective randomized study in a rat model. J Urol. 2004;171:1720-1725.

4. Fleming C. Robot-assisted vasovasostomy. Urol Clin North Am. 2004;31:769-772.

5. Oksar M, Akbulut Z, Ocal H, Balbay MD, Kanbak O. Prostatectomía robótica: análisis anestesiológico de cirugías urológicas robóticas, un estudio prospectivo. Brazilian Journal of Anesthesiology. 2014;64:307-313.

6. Hsu RL, Kaye AD, Urman RD. Anesthetic challenges in robotic-assisted urologic surgery. Reviews in Urology. 2013;15:178-184.

7. Goswami S, Nishanian E, Mets B. Anesthesia for robotic surgery. In: Miller RD, ed. Miller’s Anesthesia. 7th ed. Philadelphia, PA: Elsevier; 2010. pp. 1103, 2389-2395.

8. Thompson J. Myocardial infarction and subsequent death in a patient undergoing robotic prostatectomy. AANA J. 2009;77:365-371.

9. Hsu RL, Kaye AD, Urman RD. Anesthetic challenges in robotic-assisted urologic surgery. Rev Urol. 2013;15:178-184.

10. Novara G, Ficarra B, Rosen RC, Artibani W, Costello A, Graefen M, et al. Systematic review and metanalysis of perioperative outcomes and complication after robot assisted radical prostatectomy. Eur Urol. 2012;62:431-452.

11. Chang CH, Lee HK, Nam SH. The displacement of the tracheal tube during robot-assisted radical prostatectomy. Eur J Anaesthesiol. 2010;27:478-480.

12. Suh MK, Seong KW, Jung SH, Kim SS. The effect of pneumoperitoneum and Trendelenburg position on respiratory mechanics during pelviscopic surgery. Korean J Anesthesiol. 2010;59:329-334.

13. Tomescu DR, Popescu M, Dima SO, Bacalbașa N, Bubenek-Turconi Ș. Obesity is associated with decreased lung compliance and hypercapnia during robotic assisted surgery. J Clin Monit Comput. 2017;31:85-92.

14. Thomsen LP, Aliuskeviciene A, Sørensen K, Nørgaard AC, Sørensen PL, Mark, EB, et al. Non-invasive estimation of respiratory depression profiles during robot-assisted laparoscopic surgery using a model-based approach. In CMBEBIH. 2017. pp. 223-231.

15. Rusca M, Proietti S, Schnyder P, et al. Prevention of atelectasis formation during induction of general anesthesia. Anest. Analg. 2003;97:1835-1839.

16. Lee HJ, Kim KS, Jeong JS, Shim JC, Cho ES. Optimal positive end-expiratory pressure during robot-assisted laparoscopic radical prostatectomy. Korean J Anesthesiol. 2013;65:244-250.

17. Irvine M, Patil V. Anaesthesia for robot-assisted laparoscopic surgery. Contin Educ Anaesth Crit Care Pain. 2009;9:125-129.

18. Jaju R, Jaju PB, Dubey M, Mohammad S, Bhargava AK. Comparison of volume controlled ventilation and pressure controlled ventilation in patients undergoing robot‑assisted pelvic surgeries: An open‑label trial. Indian J Anaesth. 2017;61:27-33.

19. Kim MS, Kim NY, Lee KY, Choi YD, Hong JH, Bai SJ. The impact of two different inspiratory to expiratory ratios (1:1 and 1:2) on respiratory mechanics and oxygenation during volume-controlled ventilation in robot-assisted laparoscopic radical prostatectomy: a randomized controlled trial. Can J Anesth. 2015;62:979-987.

20. Paranjape S, Chhabra A. Anaesthesia for robotic surgery. Trends in Anaesthesia and Critical Care. 2014;4:25-31.

21. Hong JY, Lee SJ, Rha KH, Roh GU, Kwon SY, Kil HK. Effects of thoracic epidural analgesia combined with general anesthesia on intraoperative ventilation/oxygenation and postoperative pulmonary complications in robot-assisted laparoscopic radical prostatectomy. J Endourol. 2009;23:1843-1949.

22. López-Herranz GP. Laparoscopic surgery and anesthesia in high-risk patients. Rev Med Hosp Gen Mex. 2006;69:164-170.

23. Lestar M, Gunnarsson L, Lagerstrand L, et al. Hemodynamic perturbations during robot-assisted laparoscopic radical prostatectomy in 45 degrees Trendelenburg position. Anesth Analg. 2011;113:1069-1075.

24. El-Dawlatly A, Khairy G, Al-Dohayan A, et al. Anesthetic considerations with telemanipulative robotic-assisted laparoscopic cholecystectomy using the Da Vinci System. Internet J Anaesthesiology. 2004;8:2-5.

25. Sprung J, Whalley DG, Falcone T, et al. The impact of morbid obesity, pneumoperitoneum, and posture on respiratory system mechanics and oxygenation during laparoscopy. Anesth Analg. 2002;94:1345-1350.

26. Danic MJ, Chow M, Alexander G, et al. Anesthesia considerations for robotic-assisted laparoscopic prostatectomy: a review of 1,500 cases. J Robotic Surg. 2007;1:119-123.

27. Gainsburg DM. Anesthetic concerns for roboticassisted laparoscopic radical prostatectomy. Minerva Anestesiol. 2012;78:596-604.

28. Baltayian S. A brief review: anesthesia for robotic surgery. J Robotic Surg. 2008;2:59-66.