The predictive performance of propofol target-controlled infusion during robotic-assisted laparoscopic prostatectomy with CO2 pneumoperitoneum in the head-down position

Ogawa, Takumi; Obara, Shinju; Akino, Mitsue; Hanayama, Chie; Ishido, Hidemi; Murakawa, Masahiro

doi:10.1007/s00540-020-02765-z

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…В литературе отдельно отмечается метод тотальной внутривенной анестезии (ТВВА) с использованием комбинации «пропофол + фентанил», что вызывает уменьшение частоты послеоперационной тошноты и рвоты (ПОТР) по сравнению с ингаляционной анестезией [23]. Используются также сочетанные виды анестезии с применением регионарных методик, при которых отмечается более быстрое восстановление и ранняя активизация пациентов, уменьшение необходимости использования опиоидных анальгетиков и снижение частоты ПОТР.…”

Section: основные технические аспекты и методы анестезиологического о...unclassified

Anesthetic aspects of robot-assisted surgery (a review)

Богданов

Khusaenova

Husaenova

et al. 2023

Tihookeanskij medicinskij žurnal

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The introduction of modern robot-assisted and laparoscopic methods of surgical interventions have extended the range of surgical indications, at the same time as raising a number of specific problems related to the technical features of minimally invasive treatment. This fact makes us consider the effect of surgical aggression on the patient from a new perspective. In particular, the influence of pneumoperitoneum and the patient’s position on venous return, regional blood flow changes, and concomitant shifts of some homeokinetic systems require elucidation. This article reviews the available literature to describe the main features of anesthesia during robot-assisted surgical interventions. Recommendations from systematic reviews and meta-analyses were used. The search depth comprised the period of 12 years (2011–2022). Such factors as antiphysiological position on the operating table, tense carboxyperitoneum, and carboxythorax affect almost all organs and many regulatory mechanisms, thus having a pathological effect on the cardiovascular and respiratory systems, kidney, liver, intestines, blood coagulation system, immune system, and thermoregulation mechanisms. These effects are particularly pronounced in patients with concomitant diseases. In addition to knowledge in the field of pathophysiology, surgeons should be capable of predicting the course of events to take actions aimed at preventing the development of complications. Robot-assisted surgical interventions, although being less traumatic, are characterized by specific features that should be taken into account when preparing a patient to undergo surgery, selecting an optimal method of surgical intervention, and managing the patient in the intra- and postoperative period with rehabilitation.

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Section: основные технические аспекты и методы анестезиологического о...unclassified

Anesthetic aspects of robot-assisted surgery (a review)

Богданов

Khusaenova

Husaenova

et al. 2023

Tihookeanskij medicinskij žurnal

View full text Add to dashboard Cite

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Efficacy and safety of gasless single-port laparoscopic-assisted radical rectal cancer surgery: A single-center prospective observational study

Liu,

Gu,

Zhu

et al. 2024

Preprint

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Purpose Gasless single-port laparoscopic-assisted surgery (GSLR) has more applications in gynecologic surgery, but its safety and efficacy still need to be explored in rectal cancer surgery. Methods Patients who underwent GSLR surgery and carbon dioxide pneumoperitoneum laparoscopic surgery (LR) from June 2017 to June 2022 were collected. General information data of the patients were collected along with the relevant central venous pressure (CVP), peak airway pressure (PIP), postoperative pain scores, T-cell subpopulations and postoperative complications. Results In this study, a total of 186 patients were enrolled, including 90 patients in the GSLR and 96 patients in the LR groups, and no significant differences were observed in the general data of the two groups. The results of the study showed that the CVP and PIP of the GSLR group were significantly lower than those of the LR group during and at the end of the operation (P < 0.05). Also, the GSLR group had lower postoperative pain scores and smaller abdominal incisions than LR (P < 0.05). Similarly, on postoperative day 7, CD3+, CD4 + and CD8 + cell levels resumed more rapidly in the GSLR group than in the LR group (P < 0.05). Moreover, the incidence of postoperative lung infection was also lower in the GSLR group than in the LR group (P < 0.05). Conclusions This study demonstrates that the GSLR procedure is a favorable safety and efficacy profile in rectal cancer and can be used as a new surgical treatment option for rectal cancer patients.

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The predictive performance of propofol target-controlled infusion during robotic-assisted laparoscopic prostatectomy with CO2 pneumoperitoneum in the head-down position

Cited by 2 publications

References 29 publications

Anesthetic aspects of robot-assisted surgery (a review)

Anesthetic aspects of robot-assisted surgery (a review)

Efficacy and safety of gasless single-port laparoscopic-assisted radical rectal cancer surgery: A single-center prospective observational study

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