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Anesthetic Management for Robotic Bariatric Surgery

  • Veronica Neves Fialho Queiroz
  • Rafael Takamitsu Romero
  • Flavio Takaoka
Chapter

Abstract

Perioperative care of obese patients presents special challenges to anesthesiologists, mainly due to these patients’ comorbid conditions, such as diabetes, cardiovascular disease, obstructive sleep apnea (OSA), musculoskeletal disorders, and some forms of neoplasia. Bariatric surgery is the only evidence-based, durable treatment for this disease (Colquitt et al., Cochrane Database Syst Rev (2):CD003641, 2009).

Robotic surgery has recently gained relevance in the field of bariatric surgery. Robotic bariatric surgery (RBS), compared with traditional laparoscopy, has similar or lower complication rates, provides superior imaging and freedom of movement, and results in reduced hospital length of stay, decreased postoperative pain and enhanced postoperative recovery (Fourman and Saber, Surg Obes Relat Dis 8(4):483–8, 2012; Bindal et al., J Minim Access Surg 11(1):16–21, 2015) with lower incidence of wound infections (Acquafresca et al., Ann Surg Innov Res 9:9, 2015).

The physiology and anatomy of bariatric patients demand a tailored approach from both the anesthesiologist and the perioperative team. The interaction of a multi-disciplinary team is key to achieving good outcomes and a low rate of complications (Lindauer et al., BMC Anesthesiol 14:125, 2014).

Keywords

Anesthesia Morbid obesity 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Veronica Neves Fialho Queiroz
    • 1
    • 2
  • Rafael Takamitsu Romero
    • 1
  • Flavio Takaoka
    • 1
    • 2
  1. 1.Department of AnesthesiaHospital Israelita Albert EinsteinSão PauloBrazil
  2. 2.Hospital 9 de JulhoSão PauloBrazil

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