Robotically assisted laparoscopic microsurgical tubal reanastomosis: a feasibility study
Identifieur interne : 007D06 ( Main/Exploration ); précédent : 007D05; suivant : 007D07Robotically assisted laparoscopic microsurgical tubal reanastomosis: a feasibility study
Auteurs : Michel Degueldre [Belgique] ; Jean Vandromme [Belgique] ; Phan Thi Huong [Belgique] ; Guy Bernard Cadière [Belgique]Source :
- Fertility and Sterility [ 0015-0282 ] ; 2000.
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Abstract
Objective: To assess the feasibility and reproducibility of laparoscopic microsurgical tubal anastomosis using a remote-controlled robot. Design: Descriptive case study. Setting: Academic medical center. Patient(s): Eight patients with previous laparoscopic tubal sterilization who requested tubal reanastomosis. Intervention(s): Systematization of the operative steps for laparoscopic tubal reanastomosis using a remote-controlled robot. Main Outcome Measure(s): Primary outcome measures were feasibility and reproducibility; secondary measures were tubal patency, operative time, complications, and ergonomic qualities. Result(s): The 16 tubes were successfully reanastomosed and patency was confirmed. The mean time that the robotic system was in use was 140 minutes, and mean surgical time was 52 minutes per tube. Conclusion(s): Laparoscopic microsurgical tubal reanastomosis after tubal sterilization can be performed using a remote-controlled robotic system. The robot, which has three-dimensional vision, allows the surgeon to perform ultraprecise manipulations with intraabdominal articulated instruments while providing the necessary degrees of freedom. Systematization of the operative steps allowed performance of the operation at a speed that compares favorably with the time needed for open microsurgical techniques. Larger series are needed to assess postoperative pregnancy rates.
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DOI: 10.1016/S0015-0282(00)01543-0
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wicri:level="3"><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Obstetrics and Gynecology, University Hospital Saint-Pierre, Free University Brussels, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Vandromme, Jean" sort="Vandromme, Jean" uniqKey="Vandromme J" first="Jean" last="Vandromme">Jean Vandromme</name><affiliation wicri:level="3"><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Obstetrics and Gynecology, University Hospital Saint-Pierre, Free University Brussels, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Huong, Phan Thi" sort="Huong, Phan Thi" uniqKey="Huong P" first="Phan Thi" last="Huong">Phan Thi Huong</name><affiliation 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type="ISSN">0015-0282</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2000">2000</date><biblScope unit="volume">74</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="1020">1020</biblScope><biblScope unit="page" to="1023">1023</biblScope></imprint><idno type="ISSN">0015-0282</idno></series><idno type="istex">3514C25118D20460C419B03DB583B67059015B3A</idno><idno type="DOI">10.1016/S0015-0282(00)01543-0</idno><idno type="PII">S0015-0282(00)01543-0</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0015-0282</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Robot</term><term>laparoscopy</term><term>microsurgery</term><term>tubal anastomosis</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To assess the feasibility and reproducibility of laparoscopic microsurgical tubal anastomosis using a remote-controlled robot. Design: Descriptive case study. Setting: Academic medical center. Patient(s): Eight patients with previous laparoscopic tubal sterilization who requested tubal reanastomosis. Intervention(s): Systematization of the operative steps for laparoscopic tubal reanastomosis using a remote-controlled robot. Main Outcome Measure(s): Primary outcome measures were feasibility and reproducibility; secondary measures were tubal patency, operative time, complications, and ergonomic qualities. Result(s): The 16 tubes were successfully reanastomosed and patency was confirmed. The mean time that the robotic system was in use was 140 minutes, and mean surgical time was 52 minutes per tube. Conclusion(s): Laparoscopic microsurgical tubal reanastomosis after tubal sterilization can be performed using a remote-controlled robotic system. The robot, which has three-dimensional vision, allows the surgeon to perform ultraprecise manipulations with intraabdominal articulated instruments while providing the necessary degrees of freedom. Systematization of the operative steps allowed performance of the operation at a speed that compares favorably with the time needed for open microsurgical techniques. Larger series are needed to assess postoperative pregnancy rates.</div></front></TEI><affiliations><list><country><li>Belgique</li></country><region><li>Région de Bruxelles-Capitale</li></region><settlement><li>Bruxelles</li></settlement></list><tree><country name="Belgique"><noRegion><name sortKey="Degueldre, Michel" sort="Degueldre, Michel" uniqKey="Degueldre M" first="Michel" last="Degueldre">Michel Degueldre</name></noRegion><name sortKey="Cadiere, Guy Bernard" sort="Cadiere, Guy Bernard" uniqKey="Cadiere G" first="Guy Bernard" last="Cadière">Guy Bernard Cadière</name><name sortKey="Degueldre, Michel" sort="Degueldre, Michel" uniqKey="Degueldre M" first="Michel" last="Degueldre">Michel Degueldre</name><name sortKey="Huong, Phan Thi" sort="Huong, Phan Thi" uniqKey="Huong P" first="Phan Thi" last="Huong">Phan Thi Huong</name><name sortKey="Vandromme, Jean" sort="Vandromme, Jean" uniqKey="Vandromme J" first="Jean" last="Vandromme">Jean Vandromme</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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