PT - JOURNAL ARTICLE AU - Alan D. Kaye AU - Nalini Vadivelu AU - Nitin Ahuja AU - Sukanya Mitra AU - Dan Silasi AU - Richard D. Urman TI - Anesthetic Considerations in Robotic-Assisted Gynecologic Surgery DP - 2013 Dec 21 TA - Ochsner Journal PG - 517--524 VI - 13 IP - 4 4099 - http://www.ochsnerjournal.org/content/13/4/517.short 4100 - http://www.ochsnerjournal.org/content/13/4/517.full SO - Ochsner J2013 Dec 21; 13 AB - 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.Conclusion 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.