Robotic Pediatric Urologic Surgery-Clinical Anesthetic Considerations: A Comprehensive Review

AuthorNazih Khateren
AuthorSeth Swinneyen
AuthorJoseph Fitz-Geralden
AuthorAhmad S. Abdelrazeken
AuthorNatalie M. Domingueen
AuthorSahar Shekoohien
AuthorFarnad Imanien
AuthorTahereh Chavoshien
AuthorAli Moshkien
AuthorKimberly L. Skidmoreen
AuthorAlan D. Kayeen
OrcidNazih Khater [0000-0003-0838-7636]en
OrcidSeth Swinney [0000-0002-3659-271X]en
OrcidNatalie M. Domingue [0009-0007-8553-0981]en
OrcidSahar Shekoohi [0009-0007-4545-4523]en
OrcidFarnad Imani [0000-0003-0814-0772]en
OrcidTahereh Chavoshi [0000-0002-8840-8662]en
OrcidAli Moshki [0009-0002-9902-8240]en
OrcidKimberly L. Skidmore [0009-0007-0241-9971]en
OrcidAlan D. Kaye [0000-0003-2464-0187]en
Issued Date2024-06-30en
AbstractMinimally invasive robotic approaches have become standard in many institutions over the last decade for various pediatric urological procedures. The anesthetic considerations for common laparoscopic and robotic-assisted surgeries are similar since both require the insufflation of CO2 to adequately visualize the operative area. However, few studies exist regarding anesthesia for robotic procedures in children. We hypothesized that pediatric patients undergoing robotic urologic surgeries would require specific anesthetic strategies, especially given the inherently longer durations of these procedures. This study aimed to evaluate anesthetic considerations, current robotic procedures, optimal patient positioning, and port placement for robotic-assisted surgery in pediatric patients. A comprehensive literature review of all published manuscripts from PubMed, EMBASE database, and Google Scholar was performed, focusing on robotic procedures involving pediatric patients, anesthesia for pediatric urology patients, and related topics from 1996 to 2023. Forty published manuscripts were identified and reviewed in depth.en
DOIhttps://doi.org/10.5812/aapm-146438en
KeywordRoboticsen
KeywordPediatric Urologyen
KeywordAnesthesiaen
KeywordOutcomesen
KeywordPhysiologyen
KeywordSafetyen
PublisherBrieflandsen
TitleRobotic Pediatric Urologic Surgery-Clinical Anesthetic Considerations: A Comprehensive Reviewen
TypeReview Articleen

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