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机器人辅助手术的麻醉:综述

Anesthesia for robot-assisted surgery: a review.

作者信息

Barud Małgorzata, Turek Bartłomiej, Dąbrowski Wojciech, Siwicka Dorota

机构信息

First Department of Anesthesiology and Intensive Therapy, Medical University of Lublin, Poland.

Anesthesiology and Intensive Therapy Clinic, University Clinical Hospital No. 4, Lublin, Poland.

出版信息

Anaesthesiol Intensive Ther. 2025 May 26;57(1):99-107. doi: 10.5114/ait/203168.

Abstract

Robotic surgery has become increasingly popular over the last 30 years. This technique is particularly attractive due to its minimally invasive nature, high precision compared to open and laparoscopic techniques, less postoperative pain, shorter hospital stay for patients, and faster recovery. For an anesthesiologist, robot-assisted operations involve numerous challenges resulting from the surgical technique. The most important problems during anesthesia include changes in physiology resulting from the development of pneumoperitoneum and a steep Trendelenburg position. This review discusses problems that may be encountered by an anesthesiologist performing anesthesia during robotic surgery.

摘要

在过去30年里,机器人手术越来越受欢迎。由于其微创性质、与开放手术和腹腔镜手术相比具有更高的精度、术后疼痛较轻、患者住院时间较短以及恢复较快,这项技术特别有吸引力。对于麻醉医生来说,机器人辅助手术因手术技术带来了诸多挑战。麻醉期间最重要的问题包括气腹形成和陡峭的头低脚高位所导致的生理变化。本文综述了麻醉医生在机器人手术期间实施麻醉时可能遇到的问题。

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