Robotic single-site supracervical hysterectomy with manual morcellation:Preliminary experience  

作　　者：Dah-Ching Ding Mun-Kun Hong Tang-Yuan Chu Yu-Hsun Chang Hwan-Wun Liu 

机构地区：[1]Department of Obstetrics and Gynecology,Buddhist Tzu-Chi General Hospital,Tzu Chi University [2]Department of Pediatrics,Buddhist Tzu-Chi General Hospital,Tzu Chi University [3]Department of Occupational Medicine,Buddhist Tzu-Chi General Hospital,Tzu Chi University

出　　处：《World Journal of Clinical Cases》2017年第5期172-177,共6页世界临床病例杂志

摘　　要：AIM To evaluate the feasibility,safety and peri-and postoperative outcomes of robotic single-site supracervical hysterectomy(RSSSH) for benign gynecologic disease.METHODS We report 3 patients who received RSSSH for adenomyosis of the uterus from November 2015 to April 2016.We evaluated the feasibility,safety and outcomes among these patients.RESULTS The mean surgical time was 244 min and the estimated blood loss was 216 mL,with no blood transfusion necessitated.The docking time was shortened gradually from 30 to 10 min.We spent 148 min on console operation.Manual morcel ation time was also short,ranging from 5 to 10 min.The mean hospital stay was 5 d.Lower VAS pain score was also noted.There is no complication during or after surgery.CONCLUSION RSSSH is feasible and safe,incurs less postoperative pain and gives good cosmetic appearance.The technique of inbag,manual morcellation can avoid tumor dissemination.AIM To evaluate the feasibility,safety and peri-and postoperative outcomes of robotic single-site supracervical hysterectomy(RSSSH) for benign gynecologic disease.METHODS We report 3 patients who received RSSSH for adenomyosis of the uterus from November 2015 to April 2016.We evaluated the feasibility,safety and outcomes among these patients.RESULTS The mean surgical time was 244 min and the estimated blood loss was 216 mL,with no blood transfusion necessitated.The docking time was shortened gradually from 30 to 10 min.We spent 148 min on console operation.Manual morcel ation time was also short,ranging from 5 to 10 min.The mean hospital stay was 5 d.Lower VAS pain score was also noted.There is no complication during or after surgery.CONCLUSION RSSSH is feasible and safe,incurs less postoperative pain and gives good cosmetic appearance.The technique of inbag,manual morcellation can avoid tumor dissemination.

关 键 词：ROBOTIC surgery SINGLE-SITE Supracervical HYSTERECTOMY Single port SUBTOTAL HYSTERECTOMY 

分 类 号：R713.42[医药卫生—妇产科学]