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Robotic single-port transumbilical total hysterectomy: a pilot study

OBJECTIVE: To evaluate the feasibility of robotic single-port transumbilical total hysterectomy using a home-made surgical glove port system. METHODS: We retrospectively reviewed the medical records of patients who underwent robotic single-port transumbilical total hysterectomy between January 2010...

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Autores principales: Nam, Eun Ji, Kim, Sang Wun, Lee, Maria, Yim, Ga Won, Paek, Ji Heum, Lee, San Hui, Kim, Sunghoon, Kim, Jae Hoon, Kim, Jae Wook, Kim, Young Tae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gynecologic Oncology and Colposcopy 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3152752/
https://www.ncbi.nlm.nih.gov/pubmed/21860738
http://dx.doi.org/10.3802/jgo.2011.22.2.120
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author Nam, Eun Ji
Kim, Sang Wun
Lee, Maria
Yim, Ga Won
Paek, Ji Heum
Lee, San Hui
Kim, Sunghoon
Kim, Jae Hoon
Kim, Jae Wook
Kim, Young Tae
author_facet Nam, Eun Ji
Kim, Sang Wun
Lee, Maria
Yim, Ga Won
Paek, Ji Heum
Lee, San Hui
Kim, Sunghoon
Kim, Jae Hoon
Kim, Jae Wook
Kim, Young Tae
author_sort Nam, Eun Ji
collection PubMed
description OBJECTIVE: To evaluate the feasibility of robotic single-port transumbilical total hysterectomy using a home-made surgical glove port system. METHODS: We retrospectively reviewed the medical records of patients who underwent robotic single-port transumbilical total hysterectomy between January 2010 and July 2010. All surgical procedures were performed through a single 3-4-cm umbilical incision, with a multi-channel system consisting of a wound retractor, a surgical glove, and two 10/12-mm and two 8 mm trocars. RESULTS: Seven patients were treated with robotic single-port transumbilical total hysterectomy. Procedures included total hysterectomy due to benign gynecological disease (n=5), extra-fascial hysterectomy due to carcinoma in situ of the cervix (n=1), and radical hysterectomy due to cervical cancer IB1 (n=1). The median total operative time was 109 minutes (range, 105 to 311 minutes), the median blood loss was 100 mL (range, 10 to 750 mL), and the median weight of the resected uteri was 200 g (range, 40 to 310 g). One benign case was converted to 3-port robotic surgery due to severe pelvic adhesions, and no post-operative complications occurred. CONCLUSION: Robotic single-port transumbilical total hysterectomy is technically feasible in selected patients with gynecological disease. Robotics may enhance surgical skills during single-port transumbilical hysterectomy, especially in patients with gynecologic cancers.
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spelling pubmed-31527522011-08-22 Robotic single-port transumbilical total hysterectomy: a pilot study Nam, Eun Ji Kim, Sang Wun Lee, Maria Yim, Ga Won Paek, Ji Heum Lee, San Hui Kim, Sunghoon Kim, Jae Hoon Kim, Jae Wook Kim, Young Tae J Gynecol Oncol Original Article OBJECTIVE: To evaluate the feasibility of robotic single-port transumbilical total hysterectomy using a home-made surgical glove port system. METHODS: We retrospectively reviewed the medical records of patients who underwent robotic single-port transumbilical total hysterectomy between January 2010 and July 2010. All surgical procedures were performed through a single 3-4-cm umbilical incision, with a multi-channel system consisting of a wound retractor, a surgical glove, and two 10/12-mm and two 8 mm trocars. RESULTS: Seven patients were treated with robotic single-port transumbilical total hysterectomy. Procedures included total hysterectomy due to benign gynecological disease (n=5), extra-fascial hysterectomy due to carcinoma in situ of the cervix (n=1), and radical hysterectomy due to cervical cancer IB1 (n=1). The median total operative time was 109 minutes (range, 105 to 311 minutes), the median blood loss was 100 mL (range, 10 to 750 mL), and the median weight of the resected uteri was 200 g (range, 40 to 310 g). One benign case was converted to 3-port robotic surgery due to severe pelvic adhesions, and no post-operative complications occurred. CONCLUSION: Robotic single-port transumbilical total hysterectomy is technically feasible in selected patients with gynecological disease. Robotics may enhance surgical skills during single-port transumbilical hysterectomy, especially in patients with gynecologic cancers. Korean Society of Gynecologic Oncology and Colposcopy 2011-06-30 2011-06-30 /pmc/articles/PMC3152752/ /pubmed/21860738 http://dx.doi.org/10.3802/jgo.2011.22.2.120 Text en Copyright © 2011. Asian Society of Gynecologic Oncology, Korean Society of Gynecologic Oncology and Colposcopy http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Nam, Eun Ji
Kim, Sang Wun
Lee, Maria
Yim, Ga Won
Paek, Ji Heum
Lee, San Hui
Kim, Sunghoon
Kim, Jae Hoon
Kim, Jae Wook
Kim, Young Tae
Robotic single-port transumbilical total hysterectomy: a pilot study
title Robotic single-port transumbilical total hysterectomy: a pilot study
title_full Robotic single-port transumbilical total hysterectomy: a pilot study
title_fullStr Robotic single-port transumbilical total hysterectomy: a pilot study
title_full_unstemmed Robotic single-port transumbilical total hysterectomy: a pilot study
title_short Robotic single-port transumbilical total hysterectomy: a pilot study
title_sort robotic single-port transumbilical total hysterectomy: a pilot study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3152752/
https://www.ncbi.nlm.nih.gov/pubmed/21860738
http://dx.doi.org/10.3802/jgo.2011.22.2.120
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