Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study
Identifieur interne : 003275 ( Istex/Curation ); précédent : 003274; suivant : 003276Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study
Auteurs : Tommaso Falcone [États-Unis] ; Jeffrey M. Goldberg [États-Unis] ; Harout Margossian [États-Unis] ; Laurel Stevens [États-Unis]Source :
- Fertility and Sterility [ 0015-0282 ] ; 1999.
Descripteurs français
- Wicri :
- topic : Robotique.
English descriptors
- 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.
Url:
DOI: 10.1016/S0015-0282(00)00423-4
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Tommaso Falcone<affiliation><mods:affiliation>E-mail: falcont@ccf.org</mods:affiliation>
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<affiliation wicri:level="1"><mods:affiliation>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Minimally Invasive Surgery Center and Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio</wicri:regionArea>
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<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>
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