Robot-assisted laparoscopic hysterectomy: technique and initial experience - 18/08/11
: F.A.C.O.G., F.A.C.S., Arnold P. Advincula, M.D. : F.A.C.O.G., F.A.C.S.
Corresponding author. Tel.: +1-734-615-3773; fax: +1-734-764-7261Abstract |
Background |
Our study objective was to develop a technique for robot-assisted laparoscopic hysterectomy and to evaluate feasibility of the technology to address the technical limitations of conventional laparoscopy.
Methods |
The study design was a case series analysis in a university hospital. Sixteen consecutive patients underwent robot-assisted laparoscopic hysterectomy and were assessed for outcomes. Robot-assisted hysterectomy technique was refined and is described.
Results |
There were no conversions to laparotomy. The mean uterine weight was 131.5 g (range 30 to 327 g). Median operating time was 242 minutes (range 170 to 432). Average estimated blood loss was 96 mL (range 50 to 300 mL). One patient experienced a delayed thermal bowel injury, 2 developed postoperative infections, and 1 developed a vaginal cuff hematoma that was managed expectantly. The median length of hospital stay was 1.5 days.
Conclusions |
Robot-assisted laparoscopic hysterectomy is a feasible and promising new technique that may overcome surgical limitations seen with conventional laparoscopy.
Le texte complet de cet article est disponible en PDF.Keywords : Robot-assisted surgery, Hysterectomy, da Vinci, Laparoscopy
Plan
Vol 191 - N° 4
P. 555-560 - avril 2006 Retour au numéro
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