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Anesthesia for robotic thoracic surgery
The management of the robotic thoracic surgical patient requires the knowledge of minimally invasive surgery techniques involving the chest. Over the past decade, robotic-assisted thoracic surgery has grown, and, in the future, it will take an important place in the treatment of complex thoracic pat...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8579508/ https://www.ncbi.nlm.nih.gov/pubmed/34764843 http://dx.doi.org/10.4103/sja.sja_54_21 |
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author | Gonsette, Kimberly Tuna, Turgay Szegedi, Laszlo L. |
author_facet | Gonsette, Kimberly Tuna, Turgay Szegedi, Laszlo L. |
author_sort | Gonsette, Kimberly |
collection | PubMed |
description | The management of the robotic thoracic surgical patient requires the knowledge of minimally invasive surgery techniques involving the chest. Over the past decade, robotic-assisted thoracic surgery has grown, and, in the future, it will take an important place in the treatment of complex thoracic pathologies. The enhanced dexterity and three-dimensional visualization make it possible to do this in the small space of the thoracic cavity. Familiarity with the robotic surgical system by the anesthesiologists is mandatory. Management of a long period of one-lung ventilation with a left-sided double-lumen endotracheal tube or an independent bronchial blocker is required, along with flexible fiberoptic bronchoscopy techniques (best continuous monitoring). Correct patient positioning and prevention of complications such as eye or nerve or crashing injuries while the robotic system is used is mandatory. Recognition of the hemodynamic effects of carbon dioxide during insufflation in the chest is required. Cost is higher and outcome is not yet demonstrated to be better as compared to video-assisted thoracic surgery. The possibility for conversion to open thoracotomy should also be kept in mind. Teamwork is mandatory, as well as good communication between all the actors of the operating theatre. |
format | Online Article Text |
id | pubmed-8579508 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-85795082021-11-10 Anesthesia for robotic thoracic surgery Gonsette, Kimberly Tuna, Turgay Szegedi, Laszlo L. Saudi J Anaesth Review Article The management of the robotic thoracic surgical patient requires the knowledge of minimally invasive surgery techniques involving the chest. Over the past decade, robotic-assisted thoracic surgery has grown, and, in the future, it will take an important place in the treatment of complex thoracic pathologies. The enhanced dexterity and three-dimensional visualization make it possible to do this in the small space of the thoracic cavity. Familiarity with the robotic surgical system by the anesthesiologists is mandatory. Management of a long period of one-lung ventilation with a left-sided double-lumen endotracheal tube or an independent bronchial blocker is required, along with flexible fiberoptic bronchoscopy techniques (best continuous monitoring). Correct patient positioning and prevention of complications such as eye or nerve or crashing injuries while the robotic system is used is mandatory. Recognition of the hemodynamic effects of carbon dioxide during insufflation in the chest is required. Cost is higher and outcome is not yet demonstrated to be better as compared to video-assisted thoracic surgery. The possibility for conversion to open thoracotomy should also be kept in mind. Teamwork is mandatory, as well as good communication between all the actors of the operating theatre. Wolters Kluwer - Medknow 2021 2021-06-19 /pmc/articles/PMC8579508/ /pubmed/34764843 http://dx.doi.org/10.4103/sja.sja_54_21 Text en Copyright: © 2021 Saudi Journal of Anesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Gonsette, Kimberly Tuna, Turgay Szegedi, Laszlo L. Anesthesia for robotic thoracic surgery |
title | Anesthesia for robotic thoracic surgery |
title_full | Anesthesia for robotic thoracic surgery |
title_fullStr | Anesthesia for robotic thoracic surgery |
title_full_unstemmed | Anesthesia for robotic thoracic surgery |
title_short | Anesthesia for robotic thoracic surgery |
title_sort | anesthesia for robotic thoracic surgery |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8579508/ https://www.ncbi.nlm.nih.gov/pubmed/34764843 http://dx.doi.org/10.4103/sja.sja_54_21 |
work_keys_str_mv | AT gonsettekimberly anesthesiaforroboticthoracicsurgery AT tunaturgay anesthesiaforroboticthoracicsurgery AT szegedilaszlol anesthesiaforroboticthoracicsurgery |