Key result
Robotic-assisted surgical procedures present specific anaesthetic challenges, including limited patient access and extremes of positioning resulting in physiological disturbances and risk of injury.
Why the study?
What are the anaesthetic implications and challenges specific to robotic-assisted minimally invasive surgery compared to non-robotic surgery?
What are the anaesthetic implications and challenges specific to robotic-assisted minimally invasive surgery compared to non-robotic surgery?
Robotic-assisted surgery introduces unique anaesthetic challenges related to patient positioning and access that require specific consideration.
May necessitate specialized anaesthetic protocols for robotic cases; leaves open prospective validation of risk mitigation strategies.
Over the past decade there has been an exponential increase in the number of robotic-assisted surgical procedures performed in Australia and internationally. Despite this growth, there are no level I or II studies examining the anaesthetic implications of these procedures. Available observational studies provide insight into the significant challenges for the anaesthetist. Most anaesthetic considerations overlap with those of non-robotic surgery. However, issues with limited patient access and extremes of positioning resulting in physiological disturbances and risk of injury are consistently demonstrated concerns specific to robotic-assisted procedures.
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Pathirana et al. (2018) conducted a review in Robotic-assisted minimally invasive surgery. Robotic-assisted minimally invasive surgery vs. Non-robotic surgery was evaluated on Anaesthetic implications (physiological disturbances and risk of injury). Robotic-assisted surgical procedures present specific anaesthetic challenges, including limited patient access and extremes of positioning resulting in physiological disturbances and risk of injury.
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