Perioperative Complications of Robot-Assisted Laparoscopic Surgery Using Three Robotic Arms at a Single Institution
Identifieur interne : 001A00 ( Main/Exploration ); précédent : 001999; suivant : 001A01Perioperative Complications of Robot-Assisted Laparoscopic Surgery Using Three Robotic Arms at a Single Institution
Auteurs : Ga Won Yim [Corée du Sud] ; Sang Wun Kim [Corée du Sud] ; Eun Ji Nam [Corée du Sud] ; Sunghoon Kim [Corée du Sud] ; Young Tae Kim [Corée du Sud]Source :
- Yonsei Medical Journal [ 0513-5796 ] ; 2015.
Abstract
The aim of this study was to evaluate perioperative complications of robot-assisted laparoscopic surgery in gynecology.
Patients who underwent elective robot-assisted laparoscopic surgery between February 2006 and December 2013 were identified. Robotic procedures were performed using the da Vinci robotic system. Patient demographic data and operative outcomes were prospectively collected in a computerized database and extracted for this study.
Two hundred and ninety eight patients were identified during the study period. One case was converted to conventional laparoscopy due to mechanical failure of the robot system before the procedure and excluded from review. The median age and body mass index of patients were 48 years and 23.0 kg/m2, respectively. The majority (n=130, 43.6%) of operative procedures was radical hysterectomy, followed by endometrial cancer staging (n=112, 37.6%), total hysterectomy (n=39, 13.1%), and myomectomy (n=17, 5.7%). The median operative time, estimated blood loss, and postoperative hospital stay were 208.5 min, 184.8 mL, and 8.9 days, respectively. The overall complication rate was 18.8% and that for only oncologic cases was 16.1%. Intraoperative complications (n=5, 1.7%) consisted of three vessel injuries, one bowel content leakage during an appendectomy during endometrial cancer staging and one case of bladder injury during radical hysterectomy. Early and late postoperative complications were 14.4% and 2.7%, respectively. Five patients (1.7%) experienced grade 3 complications according to Clavien-Dindo classification and therefore needed further intervention.
Robot-assisted laparoscopic surgery is a feasible approach in gynecology with acceptable complications.
Url:
DOI: 10.3349/ymj.2015.56.2.474
PubMed: 25683998
PubMed Central: 4329361
Affiliations:
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Single Institution</title><author><name sortKey="Yim, Ga Won" sort="Yim, Ga Won" uniqKey="Yim G" first="Ga Won" last="Yim">Ga Won Yim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Institute of Women's Medical Life Science, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Institute of Women's Medical Life Science, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Sang Wun" sort="Kim, Sang Wun" uniqKey="Kim S" first="Sang Wun" last="Kim">Sang Wun Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Institute of Women's Medical Life Science, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Institute of Women's Medical Life Science, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Nam, Eun Ji" sort="Nam, Eun Ji" uniqKey="Nam E" first="Eun Ji" last="Nam">Eun Ji Nam</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Institute of Women's Medical Life Science, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Institute of Women's Medical Life Science, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Sunghoon" sort="Kim, Sunghoon" uniqKey="Kim S" first="Sunghoon" last="Kim">Sunghoon Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Institute of Women's Medical Life Science, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Institute of Women's Medical Life Science, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Young Tae" sort="Kim, Young Tae" uniqKey="Kim Y" first="Young Tae" last="Kim">Young Tae Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Institute of Women's Medical Life Science, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Obstetrics and Gynecology, Institute of Women's Medical Life Science, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Yonsei Medical Journal</title><idno type="ISSN">0513-5796</idno><idno type="eISSN">1976-2437</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The aim of this study was to evaluate perioperative complications of robot-assisted laparoscopic surgery in gynecology.</p></sec><sec><title>Materials and Methods</title><p>Patients who underwent elective robot-assisted laparoscopic surgery between February 2006 and December 2013 were identified. Robotic procedures were performed using the da Vinci robotic system. Patient demographic data and operative outcomes were prospectively collected in a computerized database and extracted for this study.</p></sec><sec><title>Results</title><p>Two hundred and ninety eight patients were identified during the study period. One case was converted to conventional laparoscopy due to mechanical failure of the robot system before the procedure and excluded from review. The median age and body mass index of patients were 48 years and 23.0 kg/m<sup>2</sup>, respectively. The majority (n=130, 43.6%) of operative procedures was radical hysterectomy, followed by endometrial cancer staging (n=112, 37.6%), total hysterectomy (n=39, 13.1%), and myomectomy (n=17, 5.7%). The median operative time, estimated blood loss, and postoperative hospital stay were 208.5 min, 184.8 mL, and 8.9 days, respectively. The overall complication rate was 18.8% and that for only oncologic cases was 16.1%. Intraoperative complications (n=5, 1.7%) consisted of three vessel injuries, one bowel content leakage during an appendectomy during endometrial cancer staging and one case of bladder injury during radical hysterectomy. Early and late postoperative complications were 14.4% and 2.7%, respectively. Five patients (1.7%) experienced grade 3 complications according to Clavien-Dindo classification and therefore needed further intervention.</p></sec><sec><title>Conclusion</title><p>Robot-assisted laparoscopic surgery is a feasible approach in gynecology with acceptable complications.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Johnson, N" uniqKey="Johnson N">N Johnson</name></author><author><name sortKey="Barlow, D" uniqKey="Barlow D">D Barlow</name></author><author><name sortKey="Lethaby, A" uniqKey="Lethaby A">A Lethaby</name></author><author><name sortKey="Tavender, E" uniqKey="Tavender E">E Tavender</name></author><author><name sortKey="Curr, E" uniqKey="Curr E">E Curr</name></author><author><name sortKey="Garry, R" uniqKey="Garry R">R Garry</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johnson, N" uniqKey="Johnson N">N Johnson</name></author><author><name sortKey="Barlow, D" 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D">DA Silasi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chong, Go" uniqKey="Chong G">GO Chong</name></author><author><name sortKey="Lee, Yh" uniqKey="Lee Y">YH Lee</name></author><author><name sortKey="Hong, Dg" uniqKey="Hong D">DG Hong</name></author><author><name sortKey="Cho, Yl" uniqKey="Cho Y">YL Cho</name></author><author><name sortKey="Park, Is" uniqKey="Park I">IS Park</name></author><author><name sortKey="Lee, Ys" uniqKey="Lee Y">YS Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seror, J" uniqKey="Seror J">J Seror</name></author><author><name sortKey="Bats, As" uniqKey="Bats A">AS Bats</name></author><author><name sortKey="Huchon, C" uniqKey="Huchon C">C Huchon</name></author><author><name sortKey="Bensaid, C" uniqKey="Bensaid C">C Bensaïd</name></author><author><name sortKey="Douay Hauser, N" uniqKey="Douay Hauser N">N Douay-Hauser</name></author><author><name sortKey="Lecuru, F" uniqKey="Lecuru F">F Lécuru</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pakish, J" uniqKey="Pakish J">J Pakish</name></author><author><name sortKey="Soliman, Pt" uniqKey="Soliman P">PT Soliman</name></author><author><name sortKey="Frumovitz, M" uniqKey="Frumovitz M">M Frumovitz</name></author><author><name sortKey="Westin, Sn" uniqKey="Westin S">SN Westin</name></author><author><name sortKey="Schmeler, Km" uniqKey="Schmeler K">KM Schmeler</name></author><author><name sortKey="Reis, Rd" uniqKey="Reis R">RD Reis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Coronado, Pj" uniqKey="Coronado P">PJ Coronado</name></author><author><name sortKey="Herraiz, Ma" uniqKey="Herraiz M">MA Herraiz</name></author><author><name sortKey="Magrina, Jf" uniqKey="Magrina J">JF Magrina</name></author><author><name sortKey="Fasero, M" uniqKey="Fasero M">M Fasero</name></author><author><name sortKey="Vidart, Ja" uniqKey="Vidart J">JA Vidart</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Yim, Ga Won" sort="Yim, Ga Won" uniqKey="Yim G" first="Ga Won" last="Yim">Ga Won Yim</name></region><name sortKey="Kim, Sang Wun" sort="Kim, Sang Wun" uniqKey="Kim S" first="Sang Wun" last="Kim">Sang Wun Kim</name><name sortKey="Kim, Sunghoon" sort="Kim, Sunghoon" uniqKey="Kim S" first="Sunghoon" last="Kim">Sunghoon Kim</name><name sortKey="Kim, Young Tae" sort="Kim, Young Tae" uniqKey="Kim Y" first="Young Tae" last="Kim">Young Tae Kim</name><name sortKey="Nam, Eun Ji" sort="Nam, Eun Ji" uniqKey="Nam E" first="Eun Ji" last="Nam">Eun Ji Nam</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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