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Chapter 66 - Anesthesia for Robotic Surgery


Ervant V. Nishanian
Berend Mets


Robotic surgery is the resulting transformation of the minimally invasive surgical evolution. Robotic devices are being introduced to surgery because they allow unprecedented control and precision of surgical instruments in minimally invasive procedures. The anticipated benefits of robotic or robot-assisted surgery to the patient include less pain and trauma, shorter hospital stays, quicker recovery, and a better cosmetic result. With these technologic innovations, new anesthetic implications for patient care are being discovered. As surgery evolves into the robotic era, anesthesiologists must keep abreast of these changes and their impact on patient care and safety.

First-generation surgical robots are being installed in a number of operating rooms around the world. These are not true autonomous robots that perform surgical tasks; rather, they are mechanical "helping hands" that offer assistance in various fields of surgery. These machines still require human intervention to operate or to provide input instructions. Robotic devices are here to help surgeons, not to replace them.

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