| Autor: |
Rosero, Eric B., Kho, Kimberly A., Joshi, Girish P., Giesecke, Martin, Schaffer, Joseph I. |
| Zdroj: |
Obstetrical and Gynecological Survey; January 2014, Vol. 69 Issue: 1 p18-19, 2p |
| Abstrakt: |
The laparoscopic approach has many advantages over open abdominal hysterectomy and is widely used. However, there are several limitations to laparoscopic hysterectomy (LH). These include a steep learning curve, longer operating times, counterintuitive hand movement, 2-dimensional visualization, and limited range of motion. Robotic-assisted laparoscopic surgery overcomes some of these limitations of conventional laparoscopy, providing better ergonomics, 3-dimensional stereo vision, and a wider range of motion. There has been increasing use of robotic-assisted hysterectomy for benign gynecologic disease. About half of gynecologic procedures now use the Intuitive daVinci System. The available data comparing the effectiveness of conventional and robotic laparoscopic procedures are limited to observational studies and 2 small randomized trials involving 148 patients. Data from these studies showed similar outcomes for both procedures but higher costs for robotic-assisted hysterectomy. Because most published data came from surgical centers highly experienced with robotic techniques, these results may not be applicable to gynecological practices that are less experienced with robotic LH. |
| Databáze: |
Supplemental Index |
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