Throughout the history of nursing, the discoveries and system of belief of yesterday have served as a platform for the innovations of today. That is especially true for minimally invasive surgery (MIS) approach; exactly indeed perioperative practitioners have been challenged to stay abreast of technology in a field that is a constantly changing landscape of new techniques and improved instruments and equipment. The “laparoscopic revolution” of the 1980s propelled and encouraged the changes toward a less invasive approaches and new techniques, such as modern robot-assisted surgery. Science and technology are advancing at an incredible pace. Over the last several decades, there has been technological advancement in the operating room. The use of robotics is expanding rapidly in the medical arena. The evolution of robotics in surgery is presented within the context of virtual reality, telepresence, telemanipulation, and passive (i.e., master-slave) robotic surgical systems. A critical analysis of these new developments becomes a duty in the perioperative nursing.
Minimally invasive surgeries, including robotic-assisted surgeries, are performed in many hospitals in the world, especially in genitourinary, gynecology, general, pediatric, cardiothoracic, head and neck, and breast surgery.
Nursing care for patients undergoing robotic surgery has crucial importance. The target is to reduce the risk during surgical procedures by adequate perioperative nursing for patients undergoing robotic procedure. The nursing team needs to strictly follow the protocols and specific procedures. Working tools must be shared and followed by all team members.
Starting a robotic surgery program implies an organizing effort that has to be evaluated. The program can be challenging as multiple members of the team are learning the technology and their own personal roles on the team. Important is to point out that robotic surgery program needs frequent update and audit regarding efficiency, outcomes, and patient satisfaction.
KeywordsRobotic surgery da Vinci Surgical System Robotic surgery program Multidisciplinary approach Nurses’ roles Challenges and opportunities for OR nurses Education Training Learning curve Perioperative nursing care Patient advocacy
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