Robotic single-site supracervical hysterectomy with manual morcellation:Preliminary experience 被引量：1

Robotic single-site supracervical hysterectomy with manual morcellation:Preliminary experience

下载PDF

导出

摘要 AIM To evaluate the feasibility,safety and peri-and postoperative outcomes of robotic single-site supracervical hysterectomy(RSSSH) for benign gynecologic disease.METHODS We report 3 patients who received RSSSH for adenomyosis of the uterus from November 2015 to April 2016.We evaluated the feasibility,safety and outcomes among these patients.RESULTS The mean surgical time was 244 min and the estimated blood loss was 216 mL,with no blood transfusion necessitated.The docking time was shortened gradually from 30 to 10 min.We spent 148 min on console operation.Manual morcel ation time was also short,ranging from 5 to 10 min.The mean hospital stay was 5 d.Lower VAS pain score was also noted.There is no complication during or after surgery.CONCLUSION RSSSH is feasible and safe,incurs less postoperative pain and gives good cosmetic appearance.The technique of inbag,manual morcellation can avoid tumor dissemination. AIM To evaluate the feasibility,safety and peri-and postoperative outcomes of robotic single-site supracervical hysterectomy(RSSSH) for benign gynecologic disease.METHODS We report 3 patients who received RSSSH for adenomyosis of the uterus from November 2015 to April 2016.We evaluated the feasibility,safety and outcomes among these patients.RESULTS The mean surgical time was 244 min and the estimated blood loss was 216 mL,with no blood transfusion necessitated.The docking time was shortened gradually from 30 to 10 min.We spent 148 min on console operation.Manual morcel ation time was also short,ranging from 5 to 10 min.The mean hospital stay was 5 d.Lower VAS pain score was also noted.There is no complication during or after surgery.CONCLUSION RSSSH is feasible and safe,incurs less postoperative pain and gives good cosmetic appearance.The technique of inbag,manual morcellation can avoid tumor dissemination.

作者 Dah-Ching Ding Mun-Kun Hong Tang-Yuan Chu Yu-Hsun Chang Hwan-Wun Liu

机构地区 Department of Obstetrics and Gynecology Department of Pediatrics Department of Occupational Medicine

出处《World Journal of Clinical Cases》 SCIE 2017年第5期172-177,共6页 世界临床病例杂志

关键词 ROBOTIC surgery SINGLE-SITE Supracervical HYSTERECTOMY Single port SUBTOTAL HYSTERECTOMY Robotic surgery Single-site Supracervical hysterectomy Single port Subtotal hysterectomy

分类号 R713.42 [医药卫生—妇产科学]

引文网络
相关文献

参考文献1

1李敏,韩英,冯怡辰,金绍燕,俞丹华,李冉.单孔腹腔镜与传统腹腔镜全子宫切除术的前瞻性对照研究[J].中国内镜杂志,2012,18(5):481-484. 被引量：16

二级参考文献16

1MEDEIROUS LR, ROSA DD, BOZZERRI MC, et al. Laparoscopy versus laparotomy for benign ovarian tumour [J]. Cochrane Database Syst Rew, 2009, 15(2): 004751.
2BOONSTRA A.M., SCHIPHORST PREUPER H.R., RENEMAN M.F. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain [J]. Int. J. Rehabil, Res, 2008, 31(2): 165-169.
3TOMLINSON J.S., KO C.Y., Patient satisfaction: an increasingly important measure of quality [J]. Ann. Surg. Oncol, 2006, 13(6): 764-765.
4NAVARRA G, POZZA E, OCCHIONORELLI S, et al. One-wound laparoscopic eholecystectomy[J]. Br. J. Surg, 1997, 84 (5): 695.
5FROGHI F, SODERGREN MH, DARZI AK, et al. Single-incision laparoscopic surgery (SILS) in general surgery: a review of current practice, surgical laparoscopy [J]. Endoscopy & Percutaneous Techniques, 2010, 20(4): 191-204.
6TACCHINO R., GRECO F., MATERA D. Single-incision laparoscopic cholecystectomy: surgery without a visible scar [J]. Surg. Endosc., 2009, 23(4): 896-899.
7SABER, ALAN A, EL-GHAZALY, et al. Early experience With SILS port laparoscopic sleeve gastrectomy[J]. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2009, 19(6): 428-430.
8KIM YW. Single port transumbilical myomeetomy and ovarian cystectomy[J]. J Minim Invasive Gynecol, 2009, 16(6): 74.
9LIM MC, KIM TJ, KANG S, et al. Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for adnexal tumors [J]. Surg Endosc, 2009, 23(11): 2445-2449.
10ESCOBAR PE, STARKS DC, FADER AN, et al. Single-port risk-reducing salpingo-oophorectomy with and without hysterectomy: surgical outcomes and learning curve analysis [J]. Gynecol Oncol, 2010, 119(1): 43-47.