Br J Anaesth. 2017 Apr 1;118(4):492-503. doi: 10.1093/bja/aex003.
With the ever-increasing popularity of robotic-assisted laparoscopic surgery over the past decades, the literature reporting complications distant from the surgical site involving the use of this technology has also grown. The goal of this non-systematic review is to summarise these reports with a systems-based presentation of these complications. The most commonly observed complications were related to the peripheral nervous system and the most devastating occurring in cardiac and ophthalmic systems. There were no reports of patient complications directly related to the robot itself. While several of the reported complications are not unique to robotic surgery, they are included to maintain awareness of their possibility. The limitation of surgical time, judicious fluid administration, and constant vigilance of patient positioning are all recommended as possible preventative measures.
在过去几十年中,随着机器人辅助腹腔镜手术的日益普及,涉及使用该技术的远离手术部位的并发症的文献报道也在增加。本非系统性综述的目的是总结这些报告,并以系统为基础呈现这些并发症。最常见的并发症与周围神经系统有关,最严重的发生在心脏和眼科系统。没有报告与机器人本身直接相关的患者并发症。虽然一些报道的并发症并非机器人手术所特有,但仍将其包括在内,以提高对其可能性的认识。建议采取一些可能的预防措施,包括控制手术时间、谨慎输液和持续关注患者体位。