Feasibility of robotic radical hysterectomy (RRH) with a new robotic system. Experience at Galaxy Care Laparoscopy Institute
| Autor: | Mihir Chitale, Shruti Chandak, Arjun Goel, Mangesh Hivre, Honey Chahal, Shailesh Puntambekar, K. N. Rajesh, Kshitij Manerikar |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urinary Fistula Fistula Operative Time 030232 urology & nephrology Blood Loss Surgical Uterine Cervical Neoplasms Health Informatics Hysterectomy 03 medical and health sciences 0302 clinical medicine Postoperative Complications Robotic Surgical Procedures medicine Humans Robotic surgery Radical Hysterectomy Laparoscopy Prospective cohort study Cervical cancer medicine.diagnostic_test business.industry General surgery Endometrial cancer Vaginal Fistula Middle Aged medicine.disease Endometrial Neoplasms Catheter Treatment Outcome 030220 oncology & carcinogenesis Feasibility Studies Surgery Female Safety business |
| Zdroj: | Journal of robotic surgery. 15(3) |
| ISSN: | 1863-2491 |
| Popis: | The main objective of this study was to assess in a series of 30 patients, the feasibility, oncological safety and efficacy of radical hysterectomy by a new robotic system. Prospective study design. Galaxy Care Laparoscopy Institute and Multispeciality Hospital. We performed Robotic Radical Hysterectomy in patients from August 2019 through February 2020. All the surgeries were performed by a single surgeon (Puntambekar S). Since August 2019, 30 patients with early cervical cancer/endometrial cancer were selected for radical hysterectomy. All patients were in good general condition with controlled medical comorbidities. The mean operative time was 104 min, with mean total lymph node yield of 24.7. The average blood loss was 60 ml and the hospital stay was 2.1 days, and majority of the patients were catheter free by 1 week. Two patients developed uretero-vaginal fistula on the 8th day of surgery. One was managed with Double J stenting and in the other we did laparoscopic ureteroneocystostomy. Our study has demonstrated the feasibility, safety and efficacy of RRH by the Versius robotic systems. |
| Databáze: | OpenAIRE |
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