Wakimoto Mayuko, Michalsky Marc, Nafiu Olubukola, Tobias Joseph
Department of Anesthesiology, Osaka Police Hospital, Osaka, Japan.
Department of Pediatric Surgery, Nationwide Children's Hospital and the Ohio State University College of Medicine, Columbus, OH, USA.
Robot Surg. 2021 May 25;8:9-19. doi: 10.2147/RSRR.S308185. eCollection 2021.
The novel technology of robotic-assisted surgery (RAS) has been utilized in children for the past two decades with several potential clinical benefits including reduction of postoperative pain, shortened hospital length of stay, and improved cosmetic outcomes. While associated costs and the limitations regarding instruments for smaller pediatric patients remain relevant issues, surgeon comfort related to ergonomic design in combination with enhanced three-dimensional high-fidelity imaging and tissue handling compared to traditional minimally invasive approached may offer improved surgical and postoperative outcomes. Given that the demand for this innovative technology will likely continue to expand in the field of pediatric surgery, pediatric anesthesiologists will be called upon to provide anesthetic care to patients exposed to this novel surgical technology with its unique features, intraoperative requirements, and potential complications. The current manuscript provides a narrative review of robotic-assisted surgery and discusses important anesthetic considerations and potential complications of these techniques.
在过去二十年中，机器人辅助手术（RAS）这项新技术已应用于儿童患者，具有多项潜在临床益处，包括减轻术后疼痛、缩短住院时间以及改善美容效果。虽然相关成本以及较小儿科患者手术器械的局限性仍是相关问题，但与传统微创手术相比，与人体工程学设计相关的外科医生舒适度，再加上增强的三维高保真成像和组织处理能力，可能会带来更好的手术和术后效果。鉴于这种创新技术在小儿外科领域的需求可能会持续增长，小儿麻醉医生将被要求为接受这种具有独特特征、术中要求和潜在并发症的新型手术技术的患者提供麻醉护理。本文献对机器人辅助手术进行了叙述性综述，并讨论了这些技术的重要麻醉注意事项和潜在并发症。
