Complications of Robotic Surgery : Prevention and Management
(2018) p.211-233- Abstract
Robotic surgery was developed to expand the patient population being offered a minimal invasive approach while retaining the associated advantages of minimal invasive surgery. Robotic surgery has been suggested to be particularly beneficial in surgery for malignant disease or in the presence of extensive intraabdominal adhesion, severe endometriosis, large uteri, high burden of comorbidity, or obesity. In addition to the surgeon’s and the assistant’s level of experience, these are all risk factors for the development of complications. Surgical complications are not rare and can range from mild to life threatening. Knowledge and understanding of the potential risks and benefits associated with different surgical procedures and different... (More)
Robotic surgery was developed to expand the patient population being offered a minimal invasive approach while retaining the associated advantages of minimal invasive surgery. Robotic surgery has been suggested to be particularly beneficial in surgery for malignant disease or in the presence of extensive intraabdominal adhesion, severe endometriosis, large uteri, high burden of comorbidity, or obesity. In addition to the surgeon’s and the assistant’s level of experience, these are all risk factors for the development of complications. Surgical complications are not rare and can range from mild to life threatening. Knowledge and understanding of the potential risks and benefits associated with different surgical procedures and different surgical approaches is important in order to optimize patient outcome. Robotic technology has several unique features that might influence the complication rate and also pose new challenges when managing these complications. Special considerations regarding anesthesiology and patient positioning is necessary due to the steep Trendelenburg position needed in robotic gynecologic surgery. Intraoperative lacerations or delayed thermal damage to vascular structures, the gastrointestinal tract, and the urogenital tract can potentially cause substantial morbidity. Vaginal cuff dehiscence, port-site hernias, and port-site metastases are postoperative complications where robot-specific features might play a contributory role.
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- author
- Lönnerfors, Celine LU and Persson, Jan LU
- organization
- publishing date
- 2018-10-10
- type
- Chapter in Book/Report/Conference proceeding
- publication status
- published
- subject
- keywords
- Extensive Intraabdominal Adhesions, Port Site Metastases, Robotic Surgery, Urinary Tract Injury, Vaginal Cuff Dehiscence
- host publication
- Textbook of Gynecologic Robotic Surgery
- pages
- 23 pages
- publisher
- Springer International Publishing
- external identifiers
-
- scopus:105008631562
- ISBN
- 9783319634296
- 9783319634289
- DOI
- 10.1007/978-3-319-63429-6_25
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © Springer International Publishing AG 2018.
- id
- 1c36d6dc-f1bc-4f55-b877-80e3942842ee
- date added to LUP
- 2026-02-02 13:52:44
- date last changed
- 2026-02-02 13:53:52
@inbook{1c36d6dc-f1bc-4f55-b877-80e3942842ee,
abstract = {{<p>Robotic surgery was developed to expand the patient population being offered a minimal invasive approach while retaining the associated advantages of minimal invasive surgery. Robotic surgery has been suggested to be particularly beneficial in surgery for malignant disease or in the presence of extensive intraabdominal adhesion, severe endometriosis, large uteri, high burden of comorbidity, or obesity. In addition to the surgeon’s and the assistant’s level of experience, these are all risk factors for the development of complications. Surgical complications are not rare and can range from mild to life threatening. Knowledge and understanding of the potential risks and benefits associated with different surgical procedures and different surgical approaches is important in order to optimize patient outcome. Robotic technology has several unique features that might influence the complication rate and also pose new challenges when managing these complications. Special considerations regarding anesthesiology and patient positioning is necessary due to the steep Trendelenburg position needed in robotic gynecologic surgery. Intraoperative lacerations or delayed thermal damage to vascular structures, the gastrointestinal tract, and the urogenital tract can potentially cause substantial morbidity. Vaginal cuff dehiscence, port-site hernias, and port-site metastases are postoperative complications where robot-specific features might play a contributory role.</p>}},
author = {{Lönnerfors, Celine and Persson, Jan}},
booktitle = {{Textbook of Gynecologic Robotic Surgery}},
isbn = {{9783319634296}},
keywords = {{Extensive Intraabdominal Adhesions; Port Site Metastases; Robotic Surgery; Urinary Tract Injury; Vaginal Cuff Dehiscence}},
language = {{eng}},
month = {{10}},
pages = {{211--233}},
publisher = {{Springer International Publishing}},
title = {{Complications of Robotic Surgery : Prevention and Management}},
url = {{http://dx.doi.org/10.1007/978-3-319-63429-6_25}},
doi = {{10.1007/978-3-319-63429-6_25}},
year = {{2018}},
}