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嗜铬细胞瘤机器人辅助腹腔镜手术的麻醉管理

Anesthetic Management of Robot-Assisted Laparoscopic Surgery of Pheochromocytoma.

作者信息

Suryawanshi Chhaya, Varma Sanya, Vazhakalayil Subha Teresa J

机构信息

Anesthesiology, Dr. D. Y. Patil Medical College, Hospital & Research - Dr. D. Y. Patil Vidyapeeth University, Pune, IND.

出版信息

Cureus. 2024 Feb 8;16(2):e53850. doi: 10.7759/cureus.53850. eCollection 2024 Feb.

Abstract

The latest trend shows a strong demand for minimally invasive surgery. The popularity of robot-assisted surgeries has increased because they eliminate many of the disadvantages of conventional laparoscopic methods.  However, compared to the conventional method of anesthesia treatment, robotic surgery may require adjustments in the way patients are positioned and the general arrangement of personnel and equipment. Pheochromocytomas (PHEOs) are tumours of neural crest cells that make catecholamines. Early detection and appropriate treatment are required for PHEO. The best course of action for treating these tumours is an adrenalectomy. The last several years have seen a considerable advancement in surgical technology with the development of laparoscopic and robotic devices. By comprehending the fundamental elements of robotic surgical systems, anesthesiologists may better manage anesthesia and increase patient safety by being aware of these innovations.

摘要

最新趋势表明,对微创手术的需求强劲。机器人辅助手术越来越受欢迎,因为它们消除了传统腹腔镜手术方法的许多缺点。然而,与传统的麻醉治疗方法相比,机器人手术可能需要在患者体位、人员和设备的总体安排方面进行调整。嗜铬细胞瘤(PHEOs)是产生儿茶酚胺的神经嵴细胞肿瘤。PHEO需要早期检测和适当治疗。治疗这些肿瘤的最佳行动方案是肾上腺切除术。随着腹腔镜和机器人设备的发展,过去几年手术技术有了相当大的进步。通过了解机器人手术系统的基本要素,麻醉医生可以更好地管理麻醉,并通过了解这些创新来提高患者安全性。

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