title: Anesthetic considerations in robotic-assisted gynecologic surgery.
abstract: BACKGROUND
  Robotic-assisted surgery has evolved over the past 2 decades with constantly improving technology that assists surgeons in multiple subspecialty disciplines. The surgical requirements of lithotomy and steep Trendelenburg positions, along with the creation of a pneumoperitoneum and lack of direct access to the patient all present management challenges in gynecologic surgery. Patient positioning requirements can have significant physiologic effects and can result in many complications.
  
  
  METHODS
  This review focuses on the anesthetic and surgical implications of robot-assisted technology in gynecologic surgery.
  
  
  CONCLUSIONS
  Good communication among team members and knowledge of the nuances of robotic surgery have the potential to improve patient outcomes, increase efficiency, and reduce complications.
authors.affiliation: Departments of Anesthesiology and Pharmacology, Louisiana State University Health Sciences Center, New Orleans, LA.
authors.forename: Alan D
authors.initials: AD
authors.lastname: Kaye
authors.affiliation: Department of Anesthesiology, Yale School of Medicine, New Haven, CT.
authors.forename: Nalini
authors.initials: N
authors.lastname: Vadivelu
authors.affiliation: Department of Anesthesiology, Chandigarh Government Medical College, Chandigarh, India.
authors.forename: Nitin
authors.initials: N
authors.lastname: Ahuja
authors.affiliation: Department of Anesthesiology, Chandigarh Government Medical College, Chandigarh, India.
authors.forename: Sukanya
authors.initials: S
authors.lastname: Mitra
authors.affiliation: Department of Obstetrics and Gynecology, Yale School of Medicine, New Haven, CT.
authors.forename: Dan
authors.initials: D
authors.lastname: Silasi
authors.affiliation: Department of Anesthesiology, Brigham and Women's Hospital, Boston, MA.
authors.forename: Richard D
authors.initials: RD
authors.lastname: Urman
keywords: Anesthesia; gynecologic surgical procedures; robotics; surgical procedures—minimally invasive