Anesthesia management experience and literature study of domestic remote 5G robot urology surgery

Yin Caixia; Shu Lun; Li Yicong; Yuan Weixiu; Feng Long

doi:10.19558/j.cnki.10-1020/r.2024.05.002

Abstract：Objective:To explore and summarize the precautions and experience of perioperative anesthesia management in remote 5G robot urology surgery.Methods:From August 31,2023 to September 12,2023,a total of 3 patients with urology underwent elective robotic surgery in Hainan Hospital of PLA General Hospital.The sur-geon completed the surgical operation at the Third Medical Center of the General Hospital of the People's Liberation Army in Beijing through a remote 5G dedicated line.All patients were male,the ages were 23,28,and 66 years,re-spectively;The body mass index were 22.2,22.2,and 27.1 kg/m2,respectively.Three patients underwent robot-as-sisted laparoscopic left adrenal tumor resection,retrocaval ureteral reconstruction,and radical left nephrectomy,re-spectively.Results:All patients successfully completed the operations,and all patients were given general anesthesia by fast induction tracheal intubation.The anesthesia time was 172,116,and 240 min,respectively.Two patients un-derwent left radial artery catheterization and arterial blood gas were analyzed during operation,and right internal jugu-lar vein catheterization was performed in 1 case.Two patients were sent to anesthesia recovery room for extubation,and one patient was extubated during operation.The surgical time was 85,127,and 155 min,the intraoperative bleeding volume was 10,20,and 100 ml,the intraoperative urine output was 100,100,and 300 ml,and the infusion volume was 1 600,1 600,and 2 600 ml,respectively.None of the patients received blood transfusion.The hospital stay was 23,13,and 23 days,respectively.No postoperative complication occurred.Conclusion:General anesthesia should be selected for remote 5G robot surgery,muscle relaxation should be sufficient during operation to avoid body movement,and advanced hemodynamic monitoring should be strengthened.In addition,effective preparation for risk prevention and emergency response plans.