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MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2018 Apr 12

DOI: 10.23736/S0375-9393.18.12241-3

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Joint consensus on abdominal robotic surgery and anaesthesia from a task force of the SIAARTI and SIC

Antonio CORCIONE 1, Pierluigi ANGELINI 2, Lapo BENCINI 3, Elisabetta BERTELLINI 4, Felice BORGHI 5, Claudio BUCCELLI 6, Giuseppe COLETTA 7, Clelia ESPOSITO 1, Vincenzo GRAZIANO 8, Fabio GUARRACINO 9, Domenico MARCHI 10, Pasquale MISITANO 11, Anna M. MORI 12, Mariano PATERNOSTER 6, Vincenzo PENNESTRÌ 14, Vittorio PERRONE 15, Luigi PUGLIESE 16, Stefano ROMAGNOLI 17, Luigia SCUDELLER 18 , Francesco CORCIONE 2, on behalf of Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI), Società Italiana di Chirurgia (SIC)

1 Department of Critical Care Area, A.O. Ospedali dei Colli, Monaldi Hospital, Naples, Italy; 2 Department of General, Laparoscopic and Robotic Surgery, A.O. Ospedali dei Colli, Monaldi Hospital, Naples, Italy; 3 Department of Oncology, Division of Surgical Oncology and Robotics, Careggi University Hospital, Florence, Italy; 4 Department of Anaesthesia and Intensive Care, New Civile S. Agostino-Estense, Policlinico Hospital, Modena, Italy; 5 Department of Surgery, Division of General and Surgical Oncology, S.Croce e Carle Hospital, Cuneo, Italy; 6 Department of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Naples, Italy; 7 Department of Emergency and Critical Care, Division of Operating Room Management, S.Croce e Carle Hospital, Cuneo, Italy; 8 Department of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Naples, Italy; 9 Department of Anaesthesia and Critical Care Medicine, Cardiothoracic Anaesthesia and Intensive Care, Pisa University Hospital, Pisa, Italy; 10 Department of General Surgery, New Civile S. Agostino-Estense, Policlinico Hospital, Modena, Italy; 11 General Surgery Department, General and Mini-Invasive Surgery Unit, Misericordia Hospital, Grosseto, Italy; 12 Department of Anaesthesiology and Reanimation, IRCCS Policlinic San Matteo Foundation, Pavia, Italy; 13 Department of Anaesthesia and Intensive Care Medicine, Misericordia Hospital, Grosseto, Italy; 14 Department of General and Transplant Surgery, Pisa University Hospital, Pisa, Italy; 15 General Surgery Unit 2, IRCCS Policlinic San Matteo, Foundation, Pavia, Italy; 16 Department of Anesthesia and Critical Care, Careggi University Hospital, Florence, Italy; 17 Clinical Epidemiology Unit, Scientific Direction, IRCCS Policlinic San Matteo Foundation, Pavia, Italy


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BACKGROUND: Minimally invasive surgical procedures have revolutionized the world of surgery in the past decades. While laparoscopy, the first minimally invasive surgical technique to be developed, is widely used and has been addressed by several guidelines and recommendations, the implementation of robotic-assisted surgery is still hindered by the lack of consensus documents that support healthcare professionals in the management of this novel surgical procedure. Here we summarize the available evidence and provide expert opinion aimed at improving the implementation and resolution of issues derived from robotic abdominal surgery procedures.
METHODS: A joint task force of Italian surgeons, anaesthesiologists and clinical epidemiologists reviewed the available evidence on robotic abdominal surgery. Recommendations were graded according to the strength of evidence.
RESULTS: Statements and recommendations are provided for general issues regarding robotic abdominal surgery, operating theatre organisation, preoperative patient assessment and preparation, intraoperative management, and postoperative procedures and discharge.
CONCLUSIONS: The consensus document provides evidence-based recommendations and expert statements aimed at improving the implementation and management of robotic abdominal surgery.


KEY WORDS: Robotic surgical procedures - Anaesthesiology - Consensus - Evidence-based practice

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Publication History

Article first published online: April 12, 2018
Manuscript accepted: April 10, 2018
Manuscript revised: March 7, 2018
Manuscript received: June 16, 2017

Cite this article as

Corcione A, Angelini P, Bencini L, Bertellini E, Borghi F, Buccelli C, et al. Joint consensus on abdominal robotic surgery and anaesthesia from a task force of the SIAARTI and SIC. Minerva Anestesiol 2018 Apr 12. DOI: 10.23736/S0375-9393.18.12241-3

Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI), Società Italiana di Chirurgia (SIC)

Corresponding author e-mail

L.Scudeller@smatteo.pv.it