Robot-assisted laparoscopic surgery in gynecology: scientific dream or reality?
Received 21 September 2007; received in revised form 25 March 2008; accepted 25 March 2008. published online 24 July 2008.
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.
aCenter for Special Minimally Invasive Surgery, Stanford University Medical Center, Palo Alto, California
bCarmel Medical Center, Faculty of Medicine, Technion, Hafia, Israel
cAtlanta Center for Special Minimally Invasive Surgery and Reproductive Medicine, Atlanta, Georgia
dDivision of Minimally Invasive and Robotic Surgery, Department of Obstetrics, Gynecology, Division of Oncology and Reproductive Science, The Mount Sinai School of Medicine, New York, New York
Reprint requests: Camran Nezhat, M.D., 900 Welch Road Suite 403, Palo Alto, CA 94304 (FAX: 650-327-2794).
C.N. has received honorarium from Intuitive Surgical. O.L. has nothing to disclose. M.L. has nothing to disclose. E.U. has nothing to disclose. C.H.N. has nothing to disclose. F.N. has nothing to disclose.
This study has no source of funding and was not presented at any meeting.
ABSTRACT