|
KMID : 1148020220470010001
|
|
조선대학교의대논문집
2022 Volume.47 No. 1 p.1 ~ p.4
|
|
|
Comparisons of postanesthesia complications between robotic and open thyroidectomies
|
|
Park Kyung-Nam
Jeong Hae-Jeong
|
|
|
Abstract
|
|
|
|
Robotic surgery of minimally invasive thyroidectomy has advantages including reduced hospitalization duration, faster wound healing, minimized intraoperative injury to surrounding structures, and long-term improvements in patients’ aesthetics or the quality of life. However, to our knowledge, no study has explored the complications associated with immediate postanesthesia recovery after surgery. Therefore, this study compared postanesthesia complications between robotic thyroidectomy (RoT) and open thyroidectomy (OT). Postanesthesia complications were analyzed on 50 female patients with an American Society of Anesthesiologists physical status of I or II in the postanesthesia care unit (PACU). The complications included postoperative nausea and vomiting, desaturation, hypertension, hypotension, subcutaneous emphysema, and neurologic problems. Furthermore, fentanyl intake for pain control and the PACU stay duration were analyzed. Surgery duration and anesthesia were longer in RoT than in OT; propofol doses and the used remifentanil vial numbers were higher in RoT. Postanesthesia hypertension cases were lower in RoT than in OT. No difference was observed in fentanyl intake for pain control or the PACU stay duration between the two methods. A case of subcutaneous emphysema was reported in RoT, which required gas insufflation. RoT is advantageous in preventing the increase in blood pressure after surgery.
|
|
|
KEYWORD
|
|
|
Anesthesia, General, Postoperative complication, Robotic surgical procedures, Thyroidectomy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|