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Two concomitant robot-assisted procedures in one anesthesia session: our experience.

Rishi Nayyar1, Narmada P Gupta, Ashok K Hemal

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Performing two robot-assisted surgeries in one anesthesia session is feasible and safe. This approach reduces hospital stay and costs without increasing patient risk, making it an efficient option for select cases.

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Area of Science:

  • Minimally Invasive Surgery
  • Robotic Surgery
  • Surgical Oncology
  • Urology

Background:

  • Robot-assisted surgery offers precision and minimally invasive benefits.
  • Combining procedures can potentially reduce hospital stay and costs.
  • Evaluating the safety and feasibility of multiple concomitant robotic procedures is essential.

Purpose of the Study:

  • To assess the feasibility and safety of performing two robot-assisted procedures simultaneously in a single anesthesia setting.
  • To analyze the impact of concomitant robotic surgeries on surgical and anesthesia time, blood loss, and complications.
  • To determine if combining procedures affects hospital stay and postoperative recovery.

Main Methods:

  • Retrospective review of 15 patients undergoing two planned concomitant robot-assisted surgeries.
  • Analysis of preoperative data, port placement, intraoperative events, and outcomes.
  • Evaluation of surgical/anesthesia duration, blood loss, complications, and hospital stay.

Main Results:

  • Fifteen patients successfully underwent two concomitant robot-assisted procedures, with at least one being urologic.
  • The second procedure added minimal blood loss (<50 mL).
  • Surgical and anesthesia times increased moderately, with no added complications or increased hospital stay.

Conclusions:

  • Simultaneous robot-assisted surgery for two distinct operations is feasible within one anesthesia session.
  • This approach can reduce healthcare costs and patient hospital stay without compromising safety.
  • Proceeding with a second procedure is contingent upon the successful and uncomplicated completion of the first.