Da Vinci S robotic surgery in the treatment of benign and malignant gynecologic tumors

Autor: Zdravka V. Radionova, Velkova A, Slavcho Tomov, Grigor Gortchev, Latchesar S. Tantchev
Rok vydání: 2009
Předmět:
Zdroj: Gynecological Surgery. 7:153-157
ISSN: 1613-2084
1613-2076
DOI: 10.1007/s10397-009-0535-x
Popis: The objective of this work is to present and analyze our da Vinci S robotic surgery results in the treatment of gynecologic tumors for a 1-year period. Fifty-one patients underwent da Vinci S (Intuitive Surgical, USA) robotic surgery at the Medical University—Pleven Gynecologic Oncology Clinic from January 2008 to January 2009. Robot-assisted radical hysterectomy with total pelvic lymph node dissection was performed in 28 (54.9%) of them, robot-assisted total hysterectomy in 21 (41.2%), and robot-assisted pelvic lymph node dissection in two (3.9%). The average length of the operative intervention, from the beginning of the CO2 insufflation of the abdomen to closing trocar skin incision was 119.89 min (± 43.441) and mean console time was 76.56 min (± 32.904). The average patient body weight was 70.56 kg (± 18.272; range, 41–114) with mean body mass index (BMI) of 27.30 (± 6.938). No significant difference was observed between the BMI and operative time (p = 0.49). No significant intra-operative complications were registered. An ureterovaginal fistula was diagnosed on the 10th postoperative day in one of the patients (2%). Robot-assisted endoscopic gynecologic surgery is a modern and advanced method for operative treatment of benign and malignant gynecological tumors. It is appropriate for obese patients as the obesity is not related to a prolonged operative time.
Databáze: OpenAIRE
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