Department of Critical Care Area, A.O. Ospedali dei Colli, Monaldi Hospital, Naples, Italy.
Department of General, Laparoscopic and Robotic Surgery, A.O. Ospedali dei Colli, Monaldi Hospital, Naples, Italy.
Minerva Anestesiol. 2018 Oct;84(10):1189-1208. doi: 10.23736/S0375-9393.18.12241-3. Epub 2018 Apr 12.
Minimally invasive surgical procedures have revolutionized the world of surgery in the past decades. While laparoscopy, the first minimally invasive surgical technique to be developed, is widely used and has been addressed by several guidelines and recommendations, the implementation of robotic-assisted surgery is still hindered by the lack of consensus documents that support healthcare professionals in the management of this novel surgical procedure. Here we summarize the available evidence and provide expert opinion aimed at improving the implementation and resolution of issues derived from robotic abdominal surgery procedures. A joint task force of Italian surgeons, anesthesiologists and clinical epidemiologists reviewed the available evidence on robotic abdominal surgery. Recommendations were graded according to the strength of evidence. Statements and recommendations are provided for general issues regarding robotic abdominal surgery, operating theatre organization, preoperative patient assessment and preparation, intraoperative management, and postoperative procedures and discharge. The consensus document provides evidence-based recommendations and expert statements aimed at improving the implementation and management of robotic abdominal surgery.
在过去的几十年中，微创外科手术彻底改变了外科手术领域。虽然腹腔镜是第一个开发的微创外科技术，已经得到了广泛的应用，并被几项指南和建议所涵盖，但机器人辅助手术的实施仍然受到缺乏共识文件的阻碍，这些文件无法为医疗保健专业人员提供支持，以管理这种新型手术程序。在这里，我们总结了现有证据，并提供专家意见，旨在改进机器人腹部手术的实施和解决问题。意大利外科医生、麻醉师和临床流行病学家的联合工作组审查了机器人腹部手术的现有证据。根据证据的强度对建议进行了分级。针对机器人腹部手术的一般问题、手术室组织、术前患者评估和准备、术中管理以及术后程序和出院，提供了陈述和建议。这份共识文件提供了基于证据的建议和专家陈述，旨在改进机器人腹部手术的实施和管理。
