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Gynaecological robotic surgery at a state hospital — our own experience
Affiliations- University of Health Sciences, Erzurum Regional Traditional Hospital (Nenehatun Maternity Hospital), 25070 Erzurum, Türkiye
- Atatürk University Medical Faculty, Department of Obstetrics and Gynecology,, Professor, Atatürk University Medical Faculty, Department of Obstetrics and Gynecology, Erzurum, Turkey, TR-25070 Erzurum, Türkiye
- Health Ministry Nenehatun Maternity Hospital, Health Ministry Nenehatun Maternity Hospital, Erzurum, Turkey, 25070 Erzurum, Türkiye
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Abstract
Objectives: In recent years, the rapid development of minimally invasive surgical methods, including robotic surgery, has resulted in a marked decline of the traditional methods in gynaecological surgery. The aim of the study was to share our experience with robotic surgery at a state hospital.
Material and methods: A total of 40 patients, who underwent robotic gynaecological surgery (GS) between 2015 and 2017, were included. Age, BMI, previous abdominal operations (PAO), operation indications (OI), operative time (OT), pathological evaluation, uterine weight (UW), blood loss during surgery (BL), complications, and duration of the hospitalization (DoH) were analyzed. The Da Vinci XI was used during surgery.
Results: A total of 40 patients were analyzed. Mean values were as follows: age — 48 years, BMI — 28, and PAO — 12%. The most common OI included uterine fibroids (52%) and abnormal uterine bleeding (45%). Mean OT, docking time and console time values were 166 min, 15 min, and 123 min, respectively. Mean BL was 93 mL. Mean UW was 256 gr, and DoH was 4 days. Perioperative and postoperative complications were observed in 10% and 20% of the cases, respectively.
Conclusions: Robotic-assisted surgery is invaluable in gynaecology, especially in the case of endometriosis, extensive adhesion, and in some oncological patients, as it allows for better visualization and higher maneuverability. In order for a surgeon to prepare for such cases, the use of the robot in benign cases is necessary to complete the learning curve and gain speed.
Abstract
Objectives: In recent years, the rapid development of minimally invasive surgical methods, including robotic surgery, has resulted in a marked decline of the traditional methods in gynaecological surgery. The aim of the study was to share our experience with robotic surgery at a state hospital.
Material and methods: A total of 40 patients, who underwent robotic gynaecological surgery (GS) between 2015 and 2017, were included. Age, BMI, previous abdominal operations (PAO), operation indications (OI), operative time (OT), pathological evaluation, uterine weight (UW), blood loss during surgery (BL), complications, and duration of the hospitalization (DoH) were analyzed. The Da Vinci XI was used during surgery.
Results: A total of 40 patients were analyzed. Mean values were as follows: age — 48 years, BMI — 28, and PAO — 12%. The most common OI included uterine fibroids (52%) and abnormal uterine bleeding (45%). Mean OT, docking time and console time values were 166 min, 15 min, and 123 min, respectively. Mean BL was 93 mL. Mean UW was 256 gr, and DoH was 4 days. Perioperative and postoperative complications were observed in 10% and 20% of the cases, respectively.
Conclusions: Robotic-assisted surgery is invaluable in gynaecology, especially in the case of endometriosis, extensive adhesion, and in some oncological patients, as it allows for better visualization and higher maneuverability. In order for a surgeon to prepare for such cases, the use of the robot in benign cases is necessary to complete the learning curve and gain speed.
Keywords
robotic surgery, benign gynaecological disease
About this articleTitle
Gynaecological robotic surgery at a state hospital — our own experience
Journal
Issue
Article type
Research paper
Pages
495-499
Published online
2018-09-28
Page views
1711
Article views/downloads
1081
DOI
Pubmed
Bibliographic record
Ginekol Pol 2018;89(9):495-499.
Keywords
robotic surgery
benign gynaecological disease
Authors
Berrin Göktuğ Kadioglu
Yakup Kumtepe
Firdevs Sekerci Baran
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