Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jul-Sep;15(3):356-361.
doi: 10.4103/sja.sja_54_21. Epub 2021 Jun 19.

Anesthesia for robotic thoracic surgery

Kimberly Gonsette  1 , Turgay Tuna  1 , Laszlo L Szegedi  1
Affiliations
Review

Anesthesia for robotic thoracic surgery

Kimberly Gonsette et al. Saudi J Anaesth. 2021 Jul-Sep.

Abstract

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.

Keywords: Anesthesia; robotic; thoracic.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Images depicting the da Vinci operating robot and the space occupied during thoracic surgery
See this image and copyright information in PMC

References

    1. Varma TR, Eldridge P. Use of the NeuroMate stereotactic robot in a frameless mode for functional neurosurgery. Int J Med Robot. 2006;2:107–13. - PubMed
    1. Nishihara S, Sugano N, Nishii T, Tanaka H, Nakamura N, Yoshikawa H, et al. Clinical accuracy evaluation of femoral canal preparation using the ROBODOC system. J Orthop Sci. 2004;9:452–61. - PubMed
    1. Honl M, Dierk O, Gauck C, Carrero V, Lampe F, Dries S, et al. Comparison of robotic-assisted and manual implantation of a primary total hip replacement. A prospective study. J Bone Joint Surg Am. 2003;85:1470–8. - PubMed
    1. Zipper SG, Puschmann H. Nerve injuries after computer-assisted hip replacement: Case series with 29 patients. Z Orthop Ihre Grenzgeb. 2005;143:399–402. - PubMed
    1. Ballantyne GH. Robotic surgery, telerobotic surgery, telepresence, and telementoring. Review of early clinical results. Surg Endosc. 2002;16:1389–402. - PubMed