Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study
Identifieur interne : 003275 ( Istex/Corpus ); précédent : 003274; suivant : 003276Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study
Auteurs : Tommaso Falcone ; Jeffrey M. Goldberg ; Harout Margossian ; Laurel StevensSource :
- Fertility and Sterility [ 0015-0282 ] ; 1999.
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- KwdEn :
Abstract
Objective: To evaluate the feasibility and safety of a robotic device to perform a laparoscopic tubal anastomosis. Design: Prospective pilot study. Setting: Tertiary care medical center. Patient(s): Ten patients with previous tubal ligations underwent laparoscopic tubal ligation reversal using a robotic suturing device. Intervention(s): Tubal surgery was performed with a robotic system. A two-layered closure was used for all tubes. Four stitches of 8-0 polygalactin sutures were used for each layer. Main Outcome Measure(s): Tubal patency; secondary measures were pregnancy rates, complications, and operative time. Result(s): The procedure was completed successfully in all 10 patients. No patient required conversion to an open procedure. The mean time (±SD) required to complete the anastomosis of both tubes was 159 ± 33.8 minutes. Chromotubation at the end of the procedure showed patency in all tubes anastomosed. A postoperative hysterosalpingogram 6 weeks after surgery demonstrated patency in 17 of the 19 (89%) tubes anastomosed. There have been five pregnancies so far. There were no complications. Conclusion(s): Robotic technology can be used safely to create laparoscopic microsurgical anastomoses with adequate patency rates. Robotic technology has the potential to make laparoscopic microsuturing easier.
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DOI: 10.1016/S0015-0282(00)00423-4
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study</title><author><name sortKey="Falcone, Tommaso" sort="Falcone, Tommaso" uniqKey="Falcone T" first="Tommaso" last="Falcone">Tommaso Falcone</name><affiliation><mods:affiliation>E-mail: falcont@ccf.org</mods:affiliation></affiliation><affiliation><mods:affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</mods:affiliation></affiliation></author><author><name sortKey="Goldberg, Jeffrey M" sort="Goldberg, Jeffrey M" uniqKey="Goldberg J" first="Jeffrey M" last="Goldberg">Jeffrey M. Goldberg</name><affiliation><mods:affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</mods:affiliation></affiliation></author><author><name sortKey="Margossian, Harout" sort="Margossian, Harout" uniqKey="Margossian H" first="Harout" last="Margossian">Harout Margossian</name><affiliation><mods:affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</mods:affiliation></affiliation></author><author><name sortKey="Stevens, Laurel" sort="Stevens, Laurel" uniqKey="Stevens L" first="Laurel" last="Stevens">Laurel Stevens</name><affiliation><mods:affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:E04E0C0088F5EEEF05AA44F673A3B295FD0CA771</idno><date when="2000" year="2000">2000</date><idno type="doi">10.1016/S0015-0282(00)00423-4</idno><idno type="url">https://api.istex.fr/document/E04E0C0088F5EEEF05AA44F673A3B295FD0CA771/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003275</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study</title><author><name sortKey="Falcone, Tommaso" sort="Falcone, Tommaso" uniqKey="Falcone T" first="Tommaso" last="Falcone">Tommaso Falcone</name><affiliation><mods:affiliation>E-mail: falcont@ccf.org</mods:affiliation></affiliation><affiliation><mods:affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</mods:affiliation></affiliation></author><author><name sortKey="Goldberg, Jeffrey M" sort="Goldberg, Jeffrey M" uniqKey="Goldberg J" first="Jeffrey M" last="Goldberg">Jeffrey M. Goldberg</name><affiliation><mods:affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</mods:affiliation></affiliation></author><author><name sortKey="Margossian, Harout" sort="Margossian, Harout" uniqKey="Margossian H" first="Harout" last="Margossian">Harout Margossian</name><affiliation><mods:affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</mods:affiliation></affiliation></author><author><name sortKey="Stevens, Laurel" sort="Stevens, Laurel" uniqKey="Stevens L" first="Laurel" last="Stevens">Laurel Stevens</name><affiliation><mods:affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Fertility and Sterility</title><title level="j" type="abbrev">FNS</title><idno type="ISSN">0015-0282</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999">1999</date><biblScope unit="volume">73</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="1040">1040</biblScope><biblScope unit="page" to="1042">1042</biblScope></imprint><idno type="ISSN">0015-0282</idno></series><idno type="istex">E04E0C0088F5EEEF05AA44F673A3B295FD0CA771</idno><idno type="DOI">10.1016/S0015-0282(00)00423-4</idno><idno type="PII">S0015-0282(00)00423-4</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0015-0282</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Robotics</term><term>laparoscopy</term><term>tubal surgery</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To evaluate the feasibility and safety of a robotic device to perform a laparoscopic tubal anastomosis. Design: Prospective pilot study. Setting: Tertiary care medical center. Patient(s): Ten patients with previous tubal ligations underwent laparoscopic tubal ligation reversal using a robotic suturing device. Intervention(s): Tubal surgery was performed with a robotic system. A two-layered closure was used for all tubes. Four stitches of 8-0 polygalactin sutures were used for each layer. Main Outcome Measure(s): Tubal patency; secondary measures were pregnancy rates, complications, and operative time. Result(s): The procedure was completed successfully in all 10 patients. No patient required conversion to an open procedure. The mean time (±SD) required to complete the anastomosis of both tubes was 159 ± 33.8 minutes. Chromotubation at the end of the procedure showed patency in all tubes anastomosed. A postoperative hysterosalpingogram 6 weeks after surgery demonstrated patency in 17 of the 19 (89%) tubes anastomosed. There have been five pregnancies so far. There were no complications. Conclusion(s): Robotic technology can be used safely to create laparoscopic microsurgical anastomoses with adequate patency rates. Robotic technology has the potential to make laparoscopic microsuturing easier.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Tommaso Falcone M.D.</name><affiliations><json:string>E-mail: falcont@ccf.org</json:string><json:string>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</json:string></affiliations></json:item><json:item><name>Jeffrey M Goldberg M.D.</name><affiliations><json:string>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</json:string></affiliations></json:item><json:item><name>Harout Margossian M.D.</name><affiliations><json:string>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</json:string></affiliations></json:item><json:item><name>Laurel Stevens R.N.</name><affiliations><json:string>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Robotics</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>tubal surgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>laparoscopy</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Objective: To evaluate the feasibility and safety of a robotic device to perform a laparoscopic tubal anastomosis. Design: Prospective pilot study. Setting: Tertiary care medical center. Patient(s): Ten patients with previous tubal ligations underwent laparoscopic tubal ligation reversal using a robotic suturing device. Intervention(s): Tubal surgery was performed with a robotic system. A two-layered closure was used for all tubes. Four stitches of 8-0 polygalactin sutures were used for each layer. Main Outcome Measure(s): Tubal patency; secondary measures were pregnancy rates, complications, and operative time. Result(s): The procedure was completed successfully in all 10 patients. No patient required conversion to an open procedure. The mean time (±SD) required to complete the anastomosis of both tubes was 159 ± 33.8 minutes. Chromotubation at the end of the procedure showed patency in all tubes anastomosed. A postoperative hysterosalpingogram 6 weeks after surgery demonstrated patency in 17 of the 19 (89%) tubes anastomosed. There have been five pregnancies so far. There were no complications. Conclusion(s): Robotic technology can be used safely to create laparoscopic microsurgical anastomoses with adequate patency rates. Robotic technology has the potential to make laparoscopic microsuturing easier.</abstract><qualityIndicators><score>4.039</score><pdfVersion>1.2</pdfVersion><pdfPageSize>586 x 786 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>3</keywordCount><abstractCharCount>1324</abstractCharCount><pdfWordCount>1795</pdfWordCount><pdfCharCount>11462</pdfCharCount><pdfPageCount>3</pdfPageCount><abstractWordCount>187</abstractWordCount></qualityIndicators><title>Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study</title><pii><json:string>S0015-0282(00)00423-4</json:string></pii><genre><json:string>brief communication</json:string></genre><host><volume>73</volume><pii><json:string>S0015-0282(00)X0044-1</json:string></pii><pages><last>1042</last><first>1040</first></pages><issn><json:string>0015-0282</json:string></issn><issue>5</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><title>Fertility and Sterility</title><publicationDate>2000</publicationDate></host><categories><wos><json:string>OBSTETRICS & GYNECOLOGY</json:string><json:string>REPRODUCTIVE BIOLOGY</json:string></wos></categories><publicationDate>1999</publicationDate><copyrightDate>2000</copyrightDate><doi><json:string>10.1016/S0015-0282(00)00423-4</json:string></doi><id>E04E0C0088F5EEEF05AA44F673A3B295FD0CA771</id><score>1</score><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/E04E0C0088F5EEEF05AA44F673A3B295FD0CA771/fulltext/pdf</uri></json:item><json:item><original>true</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/E04E0C0088F5EEEF05AA44F673A3B295FD0CA771/fulltext/txt</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/E04E0C0088F5EEEF05AA44F673A3B295FD0CA771/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/E04E0C0088F5EEEF05AA44F673A3B295FD0CA771/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>2000</date></publicationStmt><notesStmt><note>Supported in part by Computer Motion Inc., Goleta, California.</note><note type="content">Section title: Communications-in-brief</note><note type="content">Figure 1: Surgeon sitting at the console that houses the two handles controlling the robotic arms, seen in the background. Falcone. Robot-assisted laparoscopy. Fertil Steril 2000.</note><note type="content">Table 1: Mean operative times for robotic tasks.</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study</title><author><persName><forename type="first">Tommaso</forename><surname>Falcone</surname></persName><roleName type="degree">M.D.</roleName><email>falcont@ccf.org</email><note type="biography">Reprint requests: Tommaso Falcone, M.D., Department of Gynecology and Obstetrics A/81, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, Ohio 44195 (FAX: 216-444-1758 )</note><affiliation>Reprint requests: Tommaso Falcone, M.D., Department of Gynecology and Obstetrics A/81, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, Ohio 44195 (FAX: 216-444-1758 )</affiliation><affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</affiliation></author><author><persName><forename type="first">Jeffrey M</forename><surname>Goldberg</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</affiliation></author><author><persName><forename type="first">Harout</forename><surname>Margossian</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</affiliation></author><author><persName><forename type="first">Laurel</forename><surname>Stevens</surname></persName><roleName type="degree">R.N.</roleName><affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</affiliation></author></analytic><monogr><title level="j">Fertility and Sterility</title><title level="j" type="abbrev">FNS</title><idno type="pISSN">0015-0282</idno><idno type="PII">S0015-0282(00)X0044-1</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999"></date><biblScope unit="volume">73</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="1040">1040</biblScope><biblScope unit="page" to="1042">1042</biblScope></imprint></monogr><idno type="istex">E04E0C0088F5EEEF05AA44F673A3B295FD0CA771</idno><idno type="DOI">10.1016/S0015-0282(00)00423-4</idno><idno type="PII">S0015-0282(00)00423-4</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2000</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Objective: To evaluate the feasibility and safety of a robotic device to perform a laparoscopic tubal anastomosis. Design: Prospective pilot study. Setting: Tertiary care medical center. Patient(s): Ten patients with previous tubal ligations underwent laparoscopic tubal ligation reversal using a robotic suturing device. Intervention(s): Tubal surgery was performed with a robotic system. A two-layered closure was used for all tubes. Four stitches of 8-0 polygalactin sutures were used for each layer. Main Outcome Measure(s): Tubal patency; secondary measures were pregnancy rates, complications, and operative time. Result(s): The procedure was completed successfully in all 10 patients. No patient required conversion to an open procedure. The mean time (±SD) required to complete the anastomosis of both tubes was 159 ± 33.8 minutes. Chromotubation at the end of the procedure showed patency in all tubes anastomosed. A postoperative hysterosalpingogram 6 weeks after surgery demonstrated patency in 17 of the 19 (89%) tubes anastomosed. There have been five pregnancies so far. There were no complications. Conclusion(s): Robotic technology can be used safely to create laparoscopic microsurgical anastomoses with adequate patency rates. Robotic technology has the potential to make laparoscopic microsuturing easier.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Robotics</term></item><item><term>tubal surgery</term></item><item><term>laparoscopy</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1999-10-28">Registration</change><change when="1999-10-28">Modified</change><change when="1999">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: ce:floats; body; tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"><istex:entity SYSTEM="gr1" NDATA="IMAGE" name="GR1"></istex:entity></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="sco" xml:lang="en"><item-info><jid>FNS</jid><aid>6674</aid><ce:pii>S0015-0282(00)00423-4</ce:pii><ce:doi>10.1016/S0015-0282(00)00423-4</ce:doi><ce:copyright type="society" year="2000">American Society for Reproductive Medicine</ce:copyright></item-info><head><ce:article-footnote><ce:label>☆</ce:label><ce:note-para>Supported in part by Computer Motion Inc., Goleta, California.</ce:note-para></ce:article-footnote><ce:dochead><ce:textfn>Communications-in-brief</ce:textfn></ce:dochead><ce:title>Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study</ce:title><ce:author-group><ce:author><ce:given-name>Tommaso</ce:given-name><ce:surname>Falcone</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="CORR1">*</ce:cross-ref><ce:e-address>falcont@ccf.org</ce:e-address></ce:author><ce:author><ce:given-name>Jeffrey M</ce:given-name><ce:surname>Goldberg</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Harout</ce:given-name><ce:surname>Margossian</ce:surname><ce:degrees>M.D.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Laurel</ce:given-name><ce:surname>Stevens</ce:surname><ce:degrees>R.N.</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</ce:textfn></ce:affiliation><ce:correspondence id="CORR1"><ce:label>*</ce:label><ce:text>Reprint requests: Tommaso Falcone, M.D., Department of Gynecology and Obstetrics A/81, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, Ohio 44195 (FAX: 216-444-1758 )</ce:text></ce:correspondence></ce:author-group><ce:date-received day="10" month="8" year="1999"></ce:date-received><ce:date-revised day="28" month="10" year="1999"></ce:date-revised><ce:date-accepted day="28" month="10" year="1999"></ce:date-accepted><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>Objective: To evaluate the feasibility and safety of a robotic device to perform a laparoscopic tubal anastomosis.</ce:simple-para><ce:simple-para>Design: Prospective pilot study.</ce:simple-para><ce:simple-para>Setting: Tertiary care medical center.</ce:simple-para><ce:simple-para>Patient(s): Ten patients with previous tubal ligations underwent laparoscopic tubal ligation reversal using a robotic suturing device.</ce:simple-para><ce:simple-para>Intervention(s): Tubal surgery was performed with a robotic system. A two-layered closure was used for all tubes. Four stitches of 8-0 polygalactin sutures were used for each layer.</ce:simple-para><ce:simple-para>Main Outcome Measure(s): Tubal patency; secondary measures were pregnancy rates, complications, and operative time.</ce:simple-para><ce:simple-para>Result(s): The procedure was completed successfully in all 10 patients. No patient required conversion to an open procedure. The mean time (±SD) required to complete the anastomosis of both tubes was 159 ± 33.8 minutes. Chromotubation at the end of the procedure showed patency in all tubes anastomosed. A postoperative hysterosalpingogram 6 weeks after surgery demonstrated patency in 17 of the 19 (89%) tubes anastomosed. There have been five pregnancies so far. There were no complications.</ce:simple-para><ce:simple-para>Conclusion(s): Robotic technology can be used safely to create laparoscopic microsurgical anastomoses with adequate patency rates. Robotic technology has the potential to make laparoscopic microsuturing easier.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords class="keyword"><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>Robotics</ce:text></ce:keyword><ce:keyword><ce:text>tubal surgery</ce:text></ce:keyword><ce:keyword><ce:text>laparoscopy</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study</title></titleInfo><name type="personal"><namePart type="given">Tommaso</namePart><namePart type="family">Falcone</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>E-mail: falcont@ccf.org</affiliation><affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</affiliation><description>Reprint requests: Tommaso Falcone, M.D., Department of Gynecology and Obstetrics A/81, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, Ohio 44195 (FAX: 216-444-1758 )</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jeffrey M</namePart><namePart type="family">Goldberg</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Harout</namePart><namePart type="family">Margossian</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Laurel</namePart><namePart type="family">Stevens</namePart><namePart type="termsOfAddress">R.N.</namePart><affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="brief communication" displayLabel="Short communication"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1999</dateIssued><dateValid encoding="w3cdtf">1999-10-28</dateValid><dateModified encoding="w3cdtf">1999-10-28</dateModified><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Objective: To evaluate the feasibility and safety of a robotic device to perform a laparoscopic tubal anastomosis. Design: Prospective pilot study. Setting: Tertiary care medical center. Patient(s): Ten patients with previous tubal ligations underwent laparoscopic tubal ligation reversal using a robotic suturing device. Intervention(s): Tubal surgery was performed with a robotic system. A two-layered closure was used for all tubes. Four stitches of 8-0 polygalactin sutures were used for each layer. Main Outcome Measure(s): Tubal patency; secondary measures were pregnancy rates, complications, and operative time. Result(s): The procedure was completed successfully in all 10 patients. No patient required conversion to an open procedure. The mean time (±SD) required to complete the anastomosis of both tubes was 159 ± 33.8 minutes. Chromotubation at the end of the procedure showed patency in all tubes anastomosed. A postoperative hysterosalpingogram 6 weeks after surgery demonstrated patency in 17 of the 19 (89%) tubes anastomosed. There have been five pregnancies so far. There were no complications. Conclusion(s): Robotic technology can be used safely to create laparoscopic microsurgical anastomoses with adequate patency rates. Robotic technology has the potential to make laparoscopic microsuturing easier.</abstract><note>Supported in part by Computer Motion Inc., Goleta, California.</note><note type="content">Section title: Communications-in-brief</note><note type="content">Figure 1: Surgeon sitting at the console that houses the two handles controlling the robotic arms, seen in the background. Falcone. Robot-assisted laparoscopy. Fertil Steril 2000.</note><note type="content">Table 1: Mean operative times for robotic tasks.</note><subject lang="en"><genre>Keywords</genre><topic>Robotics</topic><topic>tubal surgery</topic><topic>laparoscopy</topic></subject><relatedItem type="host"><titleInfo><title>Fertility and Sterility</title></titleInfo><titleInfo type="abbreviated"><title>FNS</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">200005</dateIssued></originInfo><identifier type="ISSN">0015-0282</identifier><identifier type="PII">S0015-0282(00)X0044-1</identifier><part><date>200005</date><detail type="volume"><number>73</number><caption>vol.</caption></detail><detail type="issue"><number>5</number><caption>no.</caption></detail><extent unit="issue pages"><start>A1</start><end>A26</end></extent><extent unit="issue pages"><start>B1</start><end>B8</end></extent><extent unit="issue pages"><start>883</start><end>1088</end></extent><extent unit="pages"><start>1040</start><end>1042</end></extent></part></relatedItem><identifier type="istex">E04E0C0088F5EEEF05AA44F673A3B295FD0CA771</identifier><identifier type="DOI">10.1016/S0015-0282(00)00423-4</identifier><identifier type="PII">S0015-0282(00)00423-4</identifier><accessCondition type="use and reproduction" contentType="">© 2000American Society for Reproductive Medicine</accessCondition><recordInfo><recordContentSource>ELSEVIER</recordContentSource><recordOrigin>American Society for Reproductive Medicine, ©2000</recordOrigin></recordInfo></mods></metadata><enrichments><istex:catWosTEI uri="https://api.istex.fr/document/E04E0C0088F5EEEF05AA44F673A3B295FD0CA771/enrichments/catWos"><teiHeader><profileDesc><textClass><classCode scheme="WOS">OBSTETRICS & GYNECOLOGY</classCode><classCode scheme="WOS">REPRODUCTIVE BIOLOGY</classCode></textClass></profileDesc></teiHeader></istex:catWosTEI></enrichments><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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