R Kevin Reynolds1, Arnold P Advincula. 1. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Michigan Medical Center, L 4000 Women's Hospital, Ann Arbor, MI 48109-0276, USA. rkr@umich.edu
Abstract
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.
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.
Authors: Eric Lambaudie; G Houvenaeghel; J Walz; M Bannier; M Buttarelli; B Gurriet; T De Laparrent; J L Blache Journal: Surg Endosc Date: 2008-09-24 Impact factor: 4.584
Authors: Stanislav V Berelavichus; Grigory G Karmazanovsky; Vadim S Shirokov; Valeriy A Kubyshkin; Andrey G Kriger; Evgeny V Kondratyev; Olga P Zakharova Journal: World J Gastrointest Surg Date: 2012-06-27
Authors: M Patrick Lowe; Anna V Hoekstra; Arati Jairam-Thodla; Diljeet K Singh; Barbara M Buttin; John R Lurain; Julian C Schink Journal: J Robot Surg Date: 2009-02-27