Original Article
Robotic-assisted laparoendoscopic single-site gynecologic surgery: a report of 11 cases
Gu Chenglei, Fan Wensheng, Yang Wen, Wang Min, Zhang Nina, Li Zhen, Meng Yuanguang
Published 2018-08-30
Cite as Chin J Laparoscopic Surgery(Electronic Edition), 2018,11(4): 212-215. DOI: 10.3877/cma.j.issn.1674-6899.2018.04.006
Abstract
ObjectiveTo investigate the safety and feasibility of the da Vinci robot-assisted laparoendoscopic single-site gynecologic surgery.
MethodsThe clinical data were reviewed retrospectively in 11 patients undergoing da Vinci robot-assisted laparoendoscopic single-site gynecologic surgery from Dec. 2017 to Jan.2018 in Chinese PLA General Hospital.
ResultsRobot-assisted laparoendoscopic single-site surgeries were successfully finished in all 11 cases.These gynecologic procedures including four ovarian cystectomies, three hysterectomies and bilateral salpingo-oophorectomies, one myomectomy and ovarian cystectomy, one pelvic adhesiolysis and ovarian cystectomy, one single salpingo-oophorectomubtotal hysterectomy, one mesosalpinx cystectomy. The console time was (49.0±19.3)min. The intra-operative blood loss was (33.6 ± 24.2)ml. The time of postoperative bowel recovery was (17.3±3.1)h and the postoperative hospital stay time was(2.3± 0.9)d.There were no intraoperative or postoperative complications in all cases.Single-site procedures were associated with good esthetic results because of minor abdominal trauma.
ConclusionsRobot-assisted laparoendoscopic single-site gynecologic surgeries are safe and feasible.The surgeons should master the anatomy of the pelvic cavity and master the laparoscopic technique skillfully.
Key words:
Robotic surgery; Single-site; Gynecologic surgical procedure; Minimally invasive surgery; Laparoscope
Contributor Information
Gu Chenglei
Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing 100853, China
Fan Wensheng
Yang Wen
Wang Min
Zhang Nina
Li Zhen
Meng Yuanguang