title: Anesthesia for major urologic surgery.
abstract: This article details the anesthetic management of robot-assisted and laparoscopic urologic surgery. It includes the key concerns for anesthetists and a guide template for those learning this specialist area. The emphasis is on the principles of enhanced recovery, the preoperative and risk assessments, as well as the specific management plans to reduce the incidence of complications arising as a result of the prolonged pneumoperitoneum and steep head-down positions necessary for most of these procedures.
authors.affiliation: Department of Anaesthesia, Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, Devon EX2 5DW, UK. Electronic address: jimcockcroft@hotmail.com.
authors.forename: James O B
authors.initials: JO
authors.lastname: Cockcroft
authors.affiliation: Department of Anaesthesia, Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, Devon EX2 5DW, UK.
authors.forename: Colin B
authors.initials: CB
authors.lastname: Berry
authors.affiliation: Department of Urology and Exeter Health Services Research Unit, Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, Devon EX2 5DW, UK.
authors.forename: John S
authors.initials: JS
authors.lastname: McGrath
authors.affiliation: Department of Anaesthesia, Royal Devon and Exeter NHS Foundation Trust, Barrack Road, Exeter, Devon EX2 5DW, UK.
authors.forename: Mark O
authors.initials: MO
authors.lastname: Daugherty
mesh_terms: D000758:Anesthesia; D000776:Anesthesiology / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D012371:Robotics; D013520:Urologic Surgical Procedures
keywords: Cystectomy; Enhanced recovery; Laparoscopic; Prostatectomy; Robot assisted; Robotic prostatectomy; Shared decision making; Surgical approach