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[Anesthesia experiences on laparoscopic nephrectomy with da Vinci S robotics]. | LitMetric

[Anesthesia experiences on laparoscopic nephrectomy with da Vinci S robotics].

Zhong Nan Da Xue Xue Bao Yi Xue Ban

Department of Anesthesiology, Sichuan Provincial People's Hospital; Sichuan Academy of Medical Sciences, Chengdu 610072, China.

Published: September 2015

Objective: To summarize the clinical anesthesia experiences in 20 patients who underwent laparoscopic nephrectomy with da Vinci S robotics.


Methods: Anesthesia data of 20 patients from Sichuan Provincial People's Hospital, who underwent laparoscopic nephrectomy with da Vinci S robotics from August 2014 to November 2014, were analyzed and summarized. The anesthesia time, operation time, CO(2) pneumoperitoneum time, PaCO(2) and PETCO(2) were recorded.


Results: All patients were anesthetized and underwent surgery with da Vinci S robotics. The anesthesia time was (220±14) min, the operation time was (187±11) min, and the CO(2) pneumoperitoneum time was (180±13) min. The PaCO(2) and PETCO(2) were significantly elevated at 1.5 h after operation compared with those at the baseline (before pneumoperitoneum) (P<0.05). The pH value was significantly decreased at 2.5 h after operation compared to that at the baseline (P<0.05). The peak airway pressure of inspiration was significantly elevated at 0.5 h after the beginning of pneumoperitoneum compared to that at the baseline (P<0.05).


Conclusion: The hemodynamics is stable during the laparoscopic nephrectomy with da vinci S robotics. However, the duration of CO(2) pneumoperitoneum is significantly increased compared to that of other surgical procedures, resulting in high airway resistance and acid-base disturbance.

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Source
http://dx.doi.org/10.11817/j.issn.1672-7347.2015.09.011DOI Listing

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