ANESTHESIOLOGY FAST REVIEW

ANESTHESIOLOGY_FAST_REVIEWKAPAK1-0-25

LAPAROSCOPIC AND ROBOTIC SURGERY ANESTHESIA

Zeynep Yıldırım

Finike State Hospital, Department of Anesthesiology and Reanimation, Antalya, Türkiye

Yıldırım Z. Laparoscopic and Robotic Surgery Anesthesia. In: Kazancı D, editor. Anesthesiology Fast Review. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.431-440.

ABSTRACT

  • Laparoscopic and robotic surgeries have been used in increasing number of cases and indications.
  • Robotic surgical systems do not replace a surgeon, but provide the surgeon with precise robotic arms. Although they are minimally invasive techniques, they have unique challenges that require anesthesiologists to be alert.
  • To facilitate surgical vision, body cavities are usually insufflated with carbon dioxide. Pathophysiological changes occur due to insufflation, absorption of carbon dioxide, and surgical positions.
  • The anesthesiologist and surgeon should be in close contact during the perioperative period. Preoperative optimization of the patients’ cardiovascular and pulmonary problems should be provided.
  • The anesthesiologist has limited access to the patient. Hemodynamic monitoring, vascular access, and positioning should be placed and secured in advance.
  • Complications may occur due to surgical intervention, insufflation, or positioning.
  • Apart from abdominal robotic surgery, various surgeries can also be performed with robotic assistance.

Keywords: Robotic surgical procedures; Laparoscopy; Pneumoperitoneum; Head-down tilt

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