Anesthesia experiences on laparoscopic nephrectomy with da Vinci S robotics.
10.11817/j.issn.1672-7347.2015.09.011
- Author:
Ling MOU
1
,
2
;
Zhixun LAN
1
,
2
Author Information
1. Department of Anesthesiology, Sichuan Provincial People's Hospital
2. Sichuan Academy of Medical Sciences, Chengdu 610072, China.
- Publication Type:Journal Article
- MeSH:
Acid-Base Equilibrium;
Airway Resistance;
Anesthesia;
methods;
Hemodynamics;
Humans;
Kidney;
surgery;
Laparoscopy;
Nephrectomy;
methods;
Operative Time;
Pneumoperitoneum, Artificial;
Robotic Surgical Procedures
- From:
Journal of Central South University(Medical Sciences)
2015;40(9):1012-1015
- CountryChina
- Language:Chinese
-
Abstract:
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.
