Robot-assisted laparoscopic surgery in gynecology: scientific dream or reality?

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• 作者：Camran Nezhat ; Ofer Lavie ; Madeleine Lemyre ; Ebru Unal ; Ceana H. Nezhat ; Farr Nezhat
• 关键词：Robotic-assisted laparoscopy ; gynecologic surgery ; da Vinci robot
• 刊名：Fertility and Sterility
• 出版年：2009
• 出版时间：June 2009
• 年：2009
• 卷：91
• 期：6
• 页码：2620-2622
• 全文大小：77 K

文摘

Objective

To analyze the feasibility, safety, advantages, and disadvantages of using robotic technology for gynecologic surgeries in a large group of patients.

Design

Retrospective study (Canadian Task Force classification II-3).

Setting

Tertiary endoscopic referral centers.

Patient(s)

Eighty-seven patients requiring laparoscopic treatments for benign gynecologic conditions.

Intervention(s)

Charts reviewed from robotic-assisted gynecologic operative laparoscopies.

Main Outcome Measure(s)

Length of surgery, time for robot assembly and disassembly, rate of conversion to laparotomies, and complications.

Result(s)

Between January 2006 and August 2007, 137 robotically assisted gynecologic procedures were performed in 87 patients. The da Vinci Surgical System was used. The average length of the surgeries was 205 minutes (60–420 ninutes). Assembly of the robot lasted 16 minutes (10–27 minutes) when disassembly took 2.5 minutes (2–6 minutes). There were no conversions to laparotomy. There were three complications.

Conclusion(s)

Robotic-assisted technology, in its present state, is enabling more surgeons to perform endoscopic surgery. Its advantages are 3D Vision and a faster learning curve for suturing and operating while sitting. It's an exciting enabling technology with a great future.