Related Experiment Video
Updated: Jun 19, 2026
03:07
Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
Published on: August 19, 2025
An update on robotic thoracic surgery and anesthesia.
1Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA. javier-campos@uiowa.edu
Current Opinion in Anaesthesiology
|October 22, 2009
Summary
Robotic thoracic surgery is increasing, but anesthetic implications require careful management. Anesthesiologists must master lung isolation and be prepared for potential complications during robotic procedures.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Robotic Surgery
Background:
- Robotic systems, like the da Vinci robot, have been used in thoracic surgery for over a decade.
- While offering some advantages, their widespread adoption is still evolving.
Purpose of the Study:
- To review common robotic thoracic surgical procedures.
- To discuss the anesthetic implications and challenges associated with robotic thoracic surgery.
Main Methods:
- Literature review of case reports and observational studies on robotic thoracic surgery.
- Analysis of anesthetic techniques and reported complications.
Main Results:
- Limited reports focus on anesthetic implications of robotic thoracic surgery.
- Commonly used lung isolation devices include double-lumen endotracheal tubes (DLT).
- Carbon dioxide (CO2) insufflation is used by some centers for improved surgical exposure.
Conclusions:
- Anesthesiologists need expertise in lung isolation and bronchoscopy for robotic thoracic cases.
- Vigilance for complications like nerve damage is crucial.
- Readiness for conversion to open thoracotomy is essential.
