Robot‐assisted laparoscopic surgery in gynaecological oncology; initial experience at Oslo Radium Hospital and 16 months follow‐up
Identifieur interne : 004529 ( Main/Exploration ); précédent : 004528; suivant : 004530Robot‐assisted laparoscopic surgery in gynaecological oncology; initial experience at Oslo Radium Hospital and 16 months follow‐up
Auteurs : M. Bilal Sert [Norvège] ; Runar Eraker [Norvège]Source :
- The International Journal of Medical Robotics and Computer Assisted Surgery [ 1478-5951 ] ; 2009-12.
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Abstract
Background: This study aimed to report our initial experience using the Da Vinci®, a three‐armed Intuitive Surgical robotic unit, in relation to gynae‐oncological operations. Methods: A prospective database was used in this retrospective analysis of 53 consecutive women with gynae‐oncological diseases who were operated by the same surgeon in a single institution. All the patients were informed of the risks inherent with each surgical procedure as well as the potential advantages. Results: 125 different procedures were performed, including total robotic radical hysterectomy (n = 25), restaging with total hysterectomy and bilateral salpingo‐oophorectomy, total omentectomy, appendectomy, bilateral pelvic and para‐aortic node dissections. Mean age of the patients, 45.8 (range 27–70) years; mean operative time, 219 (range 110–530) min; mean console time, 170 (range 60–445) min; mean estimated blood loss, 57 (range 10–300) ml; mean post‐operative stay, 3 (range 1–6) days. No robot‐related complications occurred. No conversions were reported. Mean follow‐up time was 16 (range 0–28) months. Conclusions: Our preliminary experience with robotic surgery suggest that it is a safe technique and could allow complex radical operations to be performed with greater precision. Copyright © 2009 John Wiley & Sons, Ltd.
Url:
DOI: 10.1002/rcs.272
Affiliations:
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Methods: A prospective database was used in this retrospective analysis of 53 consecutive women with gynae‐oncological diseases who were operated by the same surgeon in a single institution. All the patients were informed of the risks inherent with each surgical procedure as well as the potential advantages. Results: 125 different procedures were performed, including total robotic radical hysterectomy (n = 25), restaging with total hysterectomy and bilateral salpingo‐oophorectomy, total omentectomy, appendectomy, bilateral pelvic and para‐aortic node dissections. Mean age of the patients, 45.8 (range 27–70) years; mean operative time, 219 (range 110–530) min; mean console time, 170 (range 60–445) min; mean estimated blood loss, 57 (range 10–300) ml; mean post‐operative stay, 3 (range 1–6) days. No robot‐related complications occurred. No conversions were reported. Mean follow‐up time was 16 (range 0–28) months. 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