The Influence of a Pneumoperitoneum on a Cardio-Vascular System and Central Hemodynamics in the Medical Cases of Robotic and Laparoscopic Gynecological Surgeries

Background High technologies in medicine enter more widely surgical practice. Their main goals are the achievement of greater precision, the alleviation of pain and the reduction in complications and improvement in the patients quality of life during a post-operative period. Robotically-assisted surgery performed with Da Vinci surgical system is the most appropriate one. Aim It is to compare the following hemodynamic indices systolic blood pressure, diastolic blood pressure, a pulse rate, a heart rate and average blood pressure, during five consecutive stages of surgical intervention. Material and methods 470 women took part in the conducted prospective medical research, as they suffer from gynecological diseases (benign and malign), but they have undergone surgery in the clinic of Oncogynecology at Doctor Georgi Stranski University General Hospital for Active Treatment PLC for a period of 8 years (year 2007 year 2015). Two groups of lady patients have been formed. The first group has undergone robotic (robotically-assisted) surgery - 223 women (47, 4 %) and the second one, consisting of 247 women (52, 6 %), was subject to laparoscopic surgical intervention. Results The observed cardiovascular changes in both researched groups are similar, but are more expressed in the group of female patients, who have undergone surgery by means of Da Vinci robotically-assisted system.