Robotic single-port transumbilical total hysterectomy: a pilot study
Identifieur interne : 002A08 ( Main/Merge ); précédent : 002A07; suivant : 002A09Robotic single-port transumbilical total hysterectomy: a pilot study
Auteurs : Eun Ji Nam [Corée du Sud] ; Sang Wun Kim [Corée du Sud] ; Maria Lee [Corée du Sud] ; Ga Won Yim [Corée du Sud] ; Ji Heum Paek [Corée du Sud] ; San Hui Lee [Corée du Sud] ; Sunghoon Kim [Corée du Sud] ; Jae Hoon Kim [Corée du Sud] ; Jae Wook Kim [Corée du Sud] ; Young Tae Kim [Corée du Sud]Source :
- Journal of Gynecologic Oncology [ 2005-0380 ] ; 2011.
Abstract
To evaluate the feasibility of robotic single-port transumbilical total hysterectomy using a home-made surgical glove port system.
We retrospectively reviewed the medical records of patients who underwent robotic single-port transumbilical total hysterectomy between January 2010 and July 2010. All surgical procedures were performed through a single 3-4-cm umbilical incision, with a multi-channel system consisting of a wound retractor, a surgical glove, and two 10/12-mm and two 8 mm trocars.
Seven patients were treated with robotic single-port transumbilical total hysterectomy. Procedures included total hysterectomy due to benign gynecological disease (n=5), extra-fascial hysterectomy due to carcinoma
Robotic single-port transumbilical total hysterectomy is technically feasible in selected patients with gynecological disease. Robotics may enhance surgical skills during single-port transumbilical hysterectomy, especially in patients with gynecologic cancers.
Url:
DOI: 10.3802/jgo.2011.22.2.120
PubMed: 21860738
PubMed Central: 3152752
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<author><name sortKey="Kim, Young Tae" sort="Kim, Young Tae" uniqKey="Kim Y" first="Young Tae" last="Kim">Young Tae Kim</name>
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<series><title level="j">Journal of Gynecologic Oncology</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>To evaluate the feasibility of robotic single-port transumbilical total hysterectomy using a home-made surgical glove port system.</p>
</sec>
<sec><title>Methods</title>
<p>We retrospectively reviewed the medical records of patients who underwent robotic single-port transumbilical total hysterectomy between January 2010 and July 2010. All surgical procedures were performed through a single 3-4-cm umbilical incision, with a multi-channel system consisting of a wound retractor, a surgical glove, and two 10/12-mm and two 8 mm trocars.</p>
</sec>
<sec><title>Results</title>
<p>Seven patients were treated with robotic single-port transumbilical total hysterectomy. Procedures included total hysterectomy due to benign gynecological disease (n=5), extra-fascial hysterectomy due to carcinoma <italic>in situ</italic>
of the cervix (n=1), and radical hysterectomy due to cervical cancer IB1 (n=1). The median total operative time was 109 minutes (range, 105 to 311 minutes), the median blood loss was 100 mL (range, 10 to 750 mL), and the median weight of the resected uteri was 200 g (range, 40 to 310 g). One benign case was converted to 3-port robotic surgery due to severe pelvic adhesions, and no post-operative complications occurred.</p>
</sec>
<sec><title>Conclusion</title>
<p>Robotic single-port transumbilical total hysterectomy is technically feasible in selected patients with gynecological disease. Robotics may enhance surgical skills during single-port transumbilical hysterectomy, especially in patients with gynecologic cancers.</p>
</sec>
</div>
</front>
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<author><name sortKey="Pelosi, Ma" uniqKey="Pelosi M">MA Pelosi</name>
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<author><name sortKey="Berger, A" uniqKey="Berger A">A Berger</name>
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<author><name sortKey="Aron, M" uniqKey="Aron M">M Aron</name>
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</TEI>
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