Gianmario Spinelli

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About

Dr. Gianmario Spinelli is a leading figure in pediatric anesthesiology, with a focused expertise on the anesthetic management of minimally invasive surgery in pediatric urology. His most-cited work, a seminal 2017 paper with 22 citations, systematically addresses the unique physiological challenges posed by laparoscopic and robotic procedures in children. Dr. Spinelli’s major contribution lies in bridging the gap between surgical innovation and safe anesthetic practice, specifically detailing the critical concerns of carbon dioxide insufflation in pediatric patients. He has helped establish that while conventional and robotic laparoscopy share similar anesthetic principles—such as managing hemodynamic shifts and respiratory compromise from pneumoperitoneum—the pediatric population requires distinct, age-specific protocols. By clarifying these nuances, his research has directly improved perioperative safety and outcomes for young patients undergoing complex urological surgeries. Dr. Spinelli’s work is essential reading for anesthesiologists and urologists alike, cementing his reputation as a key voice in the advancement of pediatric minimally invasive care.