Robot-assisted surgery (RAS) is linked to a higher incidence of postoperative pulmonary complications (PPCs) than conventional laparoscopic surgery (CLS), primarily due to longer durations of intraoperative ventilation.
Duration of mechanical ventilation, not the surgical approach itself or ventilation intensity, independently predicts PPC risk.
Risk stratification tools integrating patient characteristics and perioperative factors enhance personalized care to reduce PPCs.
Minimally invasive approaches, including robotic and laparoscopic techniques, reduce overall complications compared to open surgery, with nuanced differences in pulmonary morbidity.
