Robot-assisted surgical cases: A single center experience

The objective of this study is to present our experience with robotic surgeries in general surgery, urology, gynecology, and ear-nose-throat (ENT) departments. Robotic surgery performed in cases from the Erzurum Regional Training and Research Hospital from February 2015 to July 2018 were retrospectively included in the study. Patient data, including age, gender, ASA score, underlying disease, smoking habits, type of surgery, invasive procedures (arterial cannulation, or central venous catheter), laparotomy requirement, anesthesia, surgery, discharge times, amount of bleeding, and intraand post-operative complications were recorded from the digital database system and anesthesia hospital records during monitoring. A total of two hundred twenty-one patients were included. Of these 112 (50.6%) from urology, 53 (23.9%) from general surgery, 46 (20.8%) from gynecology, and 10 (4.5%) from ENT departments. The median age of the patients was 61 (17-91) years, and the male/ female ratio was 1.9 (145/76). Most patients (63.3%) had ASA-II scores. Ten patients (4.7%) needed conversion to laparotomy. Mean duration of anesthesia and surgery was longest in general surgery procedures. Urology department patients had the longest time to discharge. The Trendelenburg position was used only during urology and gynecology operations. Hypotension was the most frequent intraoperative complication, and nausea was the most common postoperative complication. In general, both intraand post-operative complications were mostly seen in the urology department. No intraor post-operative complications were observed in ENT operations. Robotic surgeries are continuing to develop and evolve and be used in several disciplines. Presented properties and complications of robotic surgery reported in this study, may be helpful for anesthesiologists and surgeons.