Saudi Journal of Anaesthesia

REVIEW ARTICLE
Year
: 2021  |  Volume : 15  |  Issue : 3  |  Page : 356--361

Anesthesia for robotic thoracic surgery


Kimberly Gonsette, Turgay Tuna, Laszlo L Szegedi 
 Service d'Anesthésiologie-Réanimation, C.U.B. Hôpital Erasme, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium

Correspondence Address:
Laszlo L Szegedi
Service d'Anesthésiologie-Réanimation, C.U.B. Hôpital Erasme, Université Libre de Bruxelles (U.L.B.), Route de Lennik 808, 1070 Bruxelles, Brussels
Belgium

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.


How to cite this article:
Gonsette K, Tuna T, Szegedi LL. Anesthesia for robotic thoracic surgery.Saudi J Anaesth 2021;15:356-361


How to cite this URL:
Gonsette K, Tuna T, Szegedi LL. Anesthesia for robotic thoracic surgery. Saudi J Anaesth [serial online] 2021 [cited 2021 Sep 25 ];15:356-361
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=3;spage=356;epage=361;aulast=Gonsette;type=0