Key result
Contemporary laparoscopic and robotic procedures present significant pathophysiological effects and anesthetic challenges that require specific strategies for perioperative management.
Why the study?
Despite smaller incisions, anesthetic challenges in laparoscopic and robotic surgery do not lessen and may be more demanding than in open procedures.
This review highlights that despite smaller incisions in laparoscopic and robotic surgeries, anesthetic challenges remain significant and require specific perioperative management strategies.
Anesthetic demands in robotic surgery persist or intensify; leaves open need for tailored protocols in cardiac patients pending targeted studies.
Laparoscopic techniques have established themselves as a major part of modern surgery. Their implementation in every surgical discipline has played a vital part in the reduction of perioperative morbidity and mortality. Precise robotic surgery, as an evolution of this, is shaping the present and future operating theatre that an anesthetist is facing. While incisions get smaller and the impact on the organism seems to dwindle, challenges for anesthetists do not lessen and could even become more demanding than in open procedures. This review focuses on the pathophysiological effects of contemporary laparoscopic and robotic procedures and summarizes anesthetic challenges and strategies for perioperative management.
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Hottenrott et al. (2020) conducted a review in Laparoscopic and robotic surgery. Anesthetic management was evaluated. Contemporary laparoscopic and robotic procedures present significant pathophysiological effects and anesthetic challenges that require specific strategies for perioperative management.
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