Hospital health profile of patients undergoing robotic surgery: a retrospective observational study
DOI:
https://doi.org/10.33448/rsd-v10i3.13092Keywords:
Health profile; Hospital surgical center; Robotic surgical procedures; Perioperative period.Abstract
Robotic surgery is a minimally invasive technology with the need for specific training and knowledge of the clientele to operationalize this resource. In-depth knowledge of this reality and the determining factors of clinical and procedural aspects in training hospitals is necessary. The study aimed to identify the surgical profile of patients undergoing robotic surgery at a university hospital. As a methodology, this is a retrospective study, with a descriptive quantitative approach. Data collection was based on the medical records of users assisted by the robotic surgery team, from July to December 2019. The results showed that 139 procedures were performed, with urological surgery being the main robotic specialty (61.2%), in men (64.7%) between 60 and 69 years old (43.2%), ASA 2 (77.7%) and hypertension the most frequent risk factor (46.8%). Robotic surgery uses general anesthesia (91.3%) with an average time of 2 to 4 hours of surgery (43.2%) and 4 to 6 hours under anesthetic effect (57.5%). The Trendelemburg position associated with the lithotomy occurred in most surgeries (45.3%) with an ELPO scale with a score greater than or equal to 20 (52.5%). Capnography is essential (95.7%) in addition to peripheral venous access (97.9%), with perioperative complications being the difficult airway (2.9%), although the scores are low according to international data. Conclusion: The data obtained in this study allowed to identify the profile of this clientele, offering a basis for the health team to act according to the surgical specificity.
References
Arslan, M. E., & Özgök, A. (2018). Complications of robotic and laparoscopic urologic surgery relevant to anesthesia. Mini-invasive Surgery, 2(3), 4. https://doi.org/10.20517/2574-1225.2017.31
Brasil. Ministério da Saúde. (2015). Diretrizes Diagnósticas e Terapêuticas do Adenocarcinoma de Próstata. http://conitec.gov.br/images/Consultas/Relatorios/2015/DDT_Adenocarcinomadeprostata_CP.pdf
Carlos, G. & Saulan, M. (2018) Robotic Emergencies: Are You Prepared for a Disaster? AORN, 108(5), 493-501. Doi:10.1002/aorn.12393.
Coelho, B. A. C. (2016) Revisão de Procedimentos Anestésicos para Prostatectomia Radical Robótica. [Dissertação de Mestrado em medicina]. Faculdade de Medicina da Universidade de Lisboa. https://repositorio.ul.pt/bitstream/10451/26256/1/BeatrizACCoelho.pdf
CONITEC (2018) Relatório de recomendação: Sistema cirúrgico robótico para cirurgia minimamente invasiva: Prostatectomia radical, 2018. http://conitec.gov.br/images/Relatorios/2018/Recomendacao/Relatorio_DaVinci_Prostatectomia.pdf
Esqueda, S. D. et al. (2020) Prostatectomía radical robótica: una revisión de aspectos anestésicos. An Med (Mex), 65(2), pp. 122-129. https://dx.doi.org/10.35366/94365.
Lopes, C. M. M., Haas, V. J., Dantas, R. A. S., Oliveira, C. G. & Galvão, C. M. (2016). Assessment scale of risk for surgical positioning injuries. Revista Latino-Americana de Enfermagem, 24, e2704. Epub 29 de agosto de 2016.https://doi.org/10.1590/1518-8345.0644.2704
Madureira, F. A. V., Varela, J. L. S., Madureira Filho, D., D'Almeida, L. A. V., Madureira, F. A. V., Duarte, A. M., Vaz, O. P., & Ramos, J. R. (2017). Model of a training program in robotic surgery and its initial results. Revista do Colégio Brasileiro de Cirurgiões, 44(3), 302-307. https://doi.org/10.1590/0100-69912017003013
Morrell, A. L. G., Morrell-Junior, A. C., Morrell, A. G., Mendes, J. M. F., Tustumi, F., De-Oliveira-E-Silva, L. G., & Morrell, A. (2021). The history of robotic surgery and its evolution: when illusion becomes reality. Revista do Colégio Brasileiro de Cirurgiões, 48, e20202798. Epub 13 de janeiro de 2021.https://doi.org/10.1590/0100-6991e-20202798.
Maerz, D. A., Beck, L. N., Sim, A. J., & Gainsburg, D. M. (2017). Complications of robotic-assisted laparoscopic surgery distant from the surgical site. British Journal of Anaesthesia, 118(4), pp. 492–503. https://doi.org/10.1093/bja/aex003
Nacul, M. P., Melani, A. G. F., Zilberstein, B., Benevenuto, D. S., Cavazzola, L. T., Araujo, R. L.C., Sallum, R. A. A., Aguiar-Jr, S., & Tomasich, F. (2020). Educational note: teaching and training in robotic surgery. An opinion of the Minimally Invasive and Robotic Surgery Committee of the Brazilian College of Surgeons. Revista do Colégio Brasileiro de Cirurgiões, 47, e20202681. Epub 12 de agosto de 2020.https://doi.org/10.1590/0100-6991e-20202681
Pinto, E., Lunardi, L., Treviso, P., & Botene, D. (2018). Atuação do enfermeiro na cirurgia robótica: desafios e perspectivas. Revista SOBECC, 23(1), 43-51. doi:https://doi.org/10.5327/Z1414-4425201800010008
Ramos, A. C., Domene, C. E., Volpe, P., Pajecki, D., D'Almeida, L. A. V., Ramos, M. G., Bastos, E. L. S, & Kim, K. C. (2013). Resultados iniciais da primeira série de casos brasileira de cirurgia bariátrica totalmente robótica. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), 26(Supl. 1), 2-7. https://doi.org/10.1590/S0102-67202013000600002
Rosa, M. F., Moreira, M. S. & Leite, J. B. A. (2012) Aplicação da Robótica nos Centros Cirúrgicos. Instituto Nacional de Telecomunicações, MG. https://www.inatel.br/ic/docman/artigos-publicados-s763609-1/biomedica-s418539-1
Skinovsky, J., Chibata, M. & Siqueira, D. E. D. (2008) Realidade virtual e robótica em cirurgia – aonde chegamos e para onde vamos? Revista do Colégio Brasileiro de Cirurgiões, . 35(5), pp. 334-337. https://doi.org/10.1590/S0100-69912008000500011.
Sousa, C., Bispo, D., & Acunã, A. (2018). Criação de um manual para posicionamento cirúrgico : relato de experiência. Revista SOBECC, 23(3), pp. 169-175. doi:https://doi.org/10.5327/Z1414-4425201800030009.
Sousa, J. M. B. R. & Mourão, J. I. B. (2015). Lesão dentária na anestesiologia. Rev. Bras. Anestesiol., 65(6), pp.511-518. https://doi.org/10.1016/j.bjan.2013.04.009.
Yonekura, H., Hirate, H., & Sobue, K. (2016). Comparison of anesthetic management and outcomes of robot-assisted vs pure laparoscopic radical prostatectomy. Journal of Clinical Anesthesia, 35, 281–286. https://doi.org/10.1016/j.jclinane.2016.08.014.
Yetim, Memduh, Tekindur, Sukru, & Kilickaya, Oguz. (2017). Preventing atelectasia at robotic surgery. Revista Brasileira de Anestesiologia, 67(1), 112-113. https://doi.org/10.1016/j.bjane.2015.04.004
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Ricardo de Oliveira Meneses; Letícia Costa Matos; Tatiana de Araujo Eleuterio; Cintia Silva Fassarella; Denis dos Santos Pinheiro; Gisele Passos Cabral Benjamim
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
