{"paper_id":"e27361d8-df22-4a53-b6a6-ad3c8d242f21","body_text":"Abstract\nRobotic surgery was developed to expand the patient population being offered a minimal invasive approach while retaining the associated advantages of minimal invasive surgery. Robotic surgery has been suggested to be particularly beneficial in surgery for malignant disease or in the presence of extensive intraabdominal adhesion, severe endometriosis, large uteri, high burden of comorbidity, or obesity. In addition to the surgeon’s and the assistant’s level of experience, these are all risk factors for the development of complications.\nSurgical complications are not rare and can range from mild to life threatening. Knowledge and understanding of the potential risks and benefits associated with different surgical procedures and different surgical approaches is important in order to optimize patient outcome. Robotic technology has several unique features that might influence the complication rate and also pose new challenges when managing these complications. Special considerations regarding anesthesiology and patient positioning is necessary due to the steep Trendelenburg position needed in robotic gynecologic surgery. Intraoperative lacerations or delayed thermal damage to vascular structures, the gastrointestinal tract, and the urogenital tract can potentially cause substantial morbidity. Vaginal cuff dehiscence, port-site hernias, and port-site metastases are postoperative complications where robot-specific features might play a contributory role.\nThe best and most effective management of complications is to prevent their occurrence.\nSimilar content being viewed by others\nReferences\nSutton C. Past, present, and future of hysterectomy. J Minim Invasive Gynecol. 2010;17(4):421–35.\nHorn L, Johnson DH. Ephraim McDowell, the first ovariotomy, and the birth of abdominal surgery. 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Available from: http://www.nccn.org/) Accessed 29 Sept 2016.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2018 Springer International Publishing AG\nAbout this chapter\nCite this chapter\nLönnerfors, C., Persson, J. (2018). Complications of Robotic Surgery: Prevention and Management. In: El-Ghobashy, A., Ind, T., Persson, J., Magrina, J. (eds) Textbook of Gynecologic Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-63429-6_25\nDownload citation\nDOI: https://doi.org/10.1007/978-3-319-63429-6_25\nPublished:\nPublisher Name: Springer, Cham\nPrint ISBN: 978-3-319-63428-9\nOnline ISBN: 978-3-319-63429-6\neBook Packages: MedicineMedicine (R0)\nKeywords\n- Robotic Surgery\n- Vaginal Cuff Dehiscence\n- Port Site Metastases\n- Extensive Intraabdominal Adhesions\n- Urinary Tract Injury\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}