Anesthesia experiences on laparoscopic nephrectomy with da Vinci S robotics

• Published in: Zhong nan da xue xue bao. Journal of Central South University. Yi xue ban Vol. 40; no. 9; p. 1012
• Main Authors: Mou, Ling, Lan, Zhixun
• Format: Journal Article
• Language: Chinese
• Published: China 01.09.2015
• Subjects: Acid-Base Equilibrium; Airway Resistance; Anesthesia - methods; Hemodynamics; Humans; Kidney - surgery; Laparoscopy; Nephrectomy - methods; Operative Time; Pneumoperitoneum, Artificial; Robotic Surgical Procedures
• ISSN: 1672-7347
• DOI: 10.11817/j.issn.1672-7347.2015.09.011

To summarize the clinical anesthesia experiences in 20 patients who underwent laparoscopic nephrectomy with da Vinci S robotics.
 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.
 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 compa