Robotic-assisted laparoscopic microsurgical tubal anastomosis: a human pilot study
Identifieur interne : 007D07 ( Main/Curation ); précédent : 007D06; suivant : 007D08Robotic-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.
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- topic : Robotique.
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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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Tommaso Falcone<affiliation><wicri:noCountry code="no comma">E-mail: falcont@ccf.org</wicri:noCountry></affiliation><affiliation wicri:level="2"><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><placeName><region type="state">Ohio</region></placeName></affiliation>Le document en format XML
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Goldberg</name><affiliation wicri:level="2"><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><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Margossian, Harout" sort="Margossian, Harout" uniqKey="Margossian H" first="Harout" last="Margossian">Harout Margossian</name><affiliation wicri:level="2"><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><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Stevens, Laurel" sort="Stevens, Laurel" uniqKey="Stevens L" first="Laurel" last="Stevens">Laurel Stevens</name><affiliation wicri:level="2"><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><placeName><region type="state">Ohio</region></placeName></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><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Robotique</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></record>Pour manipuler ce document sous Unix (Dilib)
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