<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-3347</journal-id>
<journal-title><![CDATA[Colombian Journal of Anestesiology]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. anestesiol.]]></abbrev-journal-title>
<issn>0120-3347</issn>
<publisher>
<publisher-name><![CDATA[SCARE-Sociedad Colombiana de Anestesiología y Reanimación]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-33472022000300201</article-id>
<article-id pub-id-type="doi">10.5554/22562087.e1001</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Robotic-assisted laparoscopic partial nephrectomy. Retrospective descriptive study over a 10-year period. Anesthetic experience]]></article-title>
<article-title xml:lang="es"><![CDATA[Nefrectomía parcial laparoscópica robótica. Estudio retrospectivo descriptivo durante 10 años. Experiencia anestésica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adell Pérez]]></surname>
<given-names><![CDATA[Anabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Osorio López]]></surname>
<given-names><![CDATA[Antia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mugabure Bujedo]]></surname>
<given-names><![CDATA[Borja]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castellano Paulis]]></surname>
<given-names><![CDATA[Berta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Azcona Andueza]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lodoso Ochoa]]></surname>
<given-names><![CDATA[Edurne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Jorrin]]></surname>
<given-names><![CDATA[Nuria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Donostia Service of Anesthesiology and Resuscitation ]]></institution>
<addr-line><![CDATA[San Sebastián ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>50</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-33472022000300201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-33472022000300201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-33472022000300201&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Robot-assisted laparoscopic surgery is currently the surgical treatment of choice for small renal masses.  Objective: Reviewing the anesthetic management and perioperative morbidity of patients undergoing robotic-assisted laparoscopic partial nephrectomy (RALPN) from 2009 to 2019 at Hospital Universitario Donostia.  Methods: Retrospective, descriptive, observational study involving 343 patients.  Results: 95 % of the patients were ASA II-III. Transient renal artery clamping was performed in 91 %, with a mean ischemia time of 17.79 minutes. The mean duration of the procedure under balanced general anesthesia was 184 min. Standard monitoring was performed along with invasive arterial pressure monitoring (IAP), central venous catheter (CVC) and EV1000 platform (Edwards®) for complex patients. Complications were recorded in 40 patients (11.67 %). Patients under anti-aggregation therapy experienced more bleeding than non-anti-aggregation patients (p 0.04) but did not require more transfusions. Patients with a higher anesthetic risk did not experience more complications. No statistically significant association was found between worsening renal function and the occurrence of intraoperative complications. 21 patients (6 %) were readmitted due to complications; the most frequent complication was renal artery pseudoaneurysm that required endovascular embolization.  Conclusions: It should be highlighted that after ten years of experience with this technique, the patients with a higher anesthetic risk have not experienced serious perioperative complications. RALPN is a safe technique that demands a careful anesthetic support. A robot-assisted approach alone is not a guarantee for success without strong teamwork.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción La cirugía laparoscópica asistida por robot es actualmente el tratamiento quirúrgico de elección para masas renales de pequeño tamaño.  Objetivo Revisión del manejo anestésico y morbilidad perioperatoria de los pacientes sometidos a nefrectomía parcial laparoscópica asistida por robot (NPLAR) desde 2009 a 2019 en el Hospital Universitario Donostia  Metodología Estudio retrospectivo observacional descriptivo sobre 343 pacientes.  Resultados El 95 % de los pacientes eran ASA II-III. En el 91 % se realizó pinzamiento transitorio de la arteria renal, con un tiempo medio de isquemia de 17,79 minutos. La duración media de la intervención bajo anestesia general balanceada fue de 184 minutos. Se realizó monitorización estándar junto con monitorización de presión arterial invasiva (PAI), catéter venoso central (CVC) y plataforma EV1000 (Edwards®) para pacientes complejos. Se registraron complicaciones en 40 pacientes (11,67 %). En los pacientes en tratamiento con antiagregantes hubo mayor sangrado que en los no antiagregados (p = 0,04), pero no requirieron más transfusiones. Los pacientes con un mayor riesgo anestésico no sufrieron más complicaciones. No se encontró asociación estadísticamente significativa entre el empeoramiento de la función renal y la existencia de complicaciones intraoperatorias. El 6 %, es decir, 21 pacientes, reingresaron por complicaciones de las cuales, la más frecuente fue el pseudoaneurisma de la arteria renal que necesitó embolización endovascular.  Conclusiones Tras diez años realizando esta técnica se puede destacar que, aunque los pacientes presentan un riesgo anestésico elevado no han tenido complicaciones perioperatorias graves. La NPLAR es una técnica segura que precisa un cuidadoso soporte anestésico. La tecnología robótica no garantiza por sí misma el éxito sin un buen trabajo en equipo.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Nephrectomy]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic surgery]]></kwd>
<kwd lng="en"><![CDATA[Robot-assisted surgical procedures]]></kwd>
<kwd lng="en"><![CDATA[Kidney neoplasms]]></kwd>
<kwd lng="en"><![CDATA[Anesthesia]]></kwd>
<kwd lng="es"><![CDATA[Nefrectomía]]></kwd>
<kwd lng="es"><![CDATA[Cirugía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[Procedimientos quirúrgicos robotizados]]></kwd>
<kwd lng="es"><![CDATA[Neoplasias renales]]></kwd>
<kwd lng="es"><![CDATA[Anestesia]]></kwd>
</kwd-group>
</article-meta>
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