AGYA B.A.

PREMPEH

24 JULY 2018
EVOLUTION OF SURGICAL
TECHNOLOGY
BRONZE AGE AND BEYOND
FRERE JACQUES PERFORMING A
LITHOTOMY
MORTON ETHER INHALER
BIG PROBLEM
EUREKA!
ERA OF BIG SURGEON, BIG INCISION
LAPAROSCOPY ERA
ROBOTIC SURGERY
ENDOWRIST INSTRUMENT
https://www.youtube.com/watch?v=05-Ge5vG15k
Why aren’t all surgeries done by
robots?
CLASSIFICATION OF ROBOTIC SURGERY
SYSTEMS
 Supervisory-controlled systems

 Telesurgical systems

 Shared-controlled systems
TELESURGICAL SYSTEM
 ANAESTHETIC CONSIDERATIONS
SPECIFIC TO ROBOTIC SURGERY
 Prolonged Preparation time post induction

 Patient Positioning

 Pressure Points

 ETT

 IV Access

 Physiological changes due to pneumoperitoneum

CONCLUSION
 ROBOTIC SURGERY IS ESTABLISHED AND WILL LIKELY PLAY AN
INCREASING LARGE ROLE IN THE FUTURE OF SURGICAL
PRACTICE
 THE TECHNOLOGY OF ROBOTIC SURGERY HAS OVERCOME
THE LIMITATIONS OF CONVENTIONAL LAPAROSCOPY, THUS
SECURING ITS UTILITY IN MICROSURGICAL PROCEEDURES
 ANESTHESIOLOGISTS MUST BE AWARE OF THE ISSUES
INVOLVED WITH ROBOTIC SURGERY AND ADJUST THEIR
PRACTICE IN ORDER TO PROVIDE SAFE PATIENT CARE
 HOWEVER DESPITE PRESUMED BENEFITS, IT’S COST
EFFECTIVENESS NEEDS TO BE FURTHER EVALUATED