Evaluation of Pulmonary Complications in Robotic-Assisted Gynecologic Surgery

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• 作者：Channing Burks ; MD ; Lia Nelson ; MD ; Daveshni Kumar ; MD ; Louis Fogg ; PhD ; Chiiranjeev Saha ; MD ; Alfred Guirguis ; DO ; Jacob Rotmensch ; MD ; Summer Dewdney ; MD ; ^{Summer_Dewdney@rush.edu}
• 关键词：Gynecology ; Pulmonary complications ; Robotic surgery
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：24
• 期：2
• 页码：280-285
• 全文大小：230 K
• 卷排序：24

文摘

To conduct a study to assess the incidence of pulmonary complications associated with robotic-assisted surgeries in women with various gynecologic conditions.DesignRetrospective study.SettingTertiary care center.PatientsThere were 296 patients included in this study. Patient characteristics and comorbidities were noted. Surgical characteristics and respiratory parameters were recorded for all patients. Intraoperative complications and postoperative complications were noted for up to 30 days after surgery. Patients were followed for a median of 231 days in an effort to detect any long-term complications. The primary outcome was postoperative pulmonary complications, and the secondary outcome measure was all complications.InterventionsNone.Measurements and Main ResultsThe study was composed of 296 patients. Only 5 patients (2%) experienced a pulmonary complication. Overall, 38 patients (13%) experienced complications, including both major and minor complications. Average airway pressure and maximum airway pressure were both associated with a significantly higher risk of pulmonary complications (p = .02 and p = .008, respectively). Age, body mass index, tidal volume, respiratory rate, estimated blood loss, and length of procedure were all found to not be statistically significant in patients who experienced a pulmonary complication versus patients who did not experience one.ConclusionRobotic gynecologic surgery is safe and tolerated well by most patients. This study supports that there is a low rate of pulmonary complications in those who undergo robotic-assisted surgery for gynecologic indications, as well as a low overall complication rate.