Robot-Assisted Laparoscopic Surgery in Gynaecology: First Experiences and Review of the Literature Roboter-assistierte laparoskopische Chirurgie in der Gynäkologie: Erste Erfahrungen und Übersicht der Literatur

IF 0.6 4区医学 Q4 SURGERY European Surgery-Acta Chirurgica Austriaca Pub Date : 2008-10-09 DOI:10.1046/j.1563-2563.2002.02046.x

P. Schwärzler, S. Fessler, C. Marth

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引用次数: 1

Abstract

Summary: Background: Current applications of robotics include surgical assistance, dexterity enhancement and image-guided therapy. Our study reports on a series of minimally invasive tubal reanastomoses performed using robotics, evaluating their feasibility and safety.Methods: Tubal surgery using the da Vinci™ surgical system was performed on consecutive patients, who requested restoration of fertility after tubal sterilisation.Results: A total of 8 tubes in five patients were anastomosed and patency confirmed; mean total operating time was 189 ± 41 minutes. Hystero-contrast-sonography after 6 weeks demonstrated patency in 7 of the 8 fallopian tubes anastomosed. There have been two pregnancies after a mean follow-up time of 5 months.Conclusions: This initial study documents the feasibility of robotically assisted surgery in gynaecology, tubal reanastomosis being the main indication. For the moment, however, in gynaecologic surgery, there are limited indications for its widespread use.

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金纳科学》中的机器害虫对照电影:1制片室《早产影院外科:早期经验及论文摘要

背景:目前机器人技术的应用包括手术辅助、灵活性增强和图像引导治疗。我们的研究报告了一系列使用机器人进行的微创输卵管吻合术，评估了它们的可行性和安全性。方法:采用达芬奇™手术系统对输卵管绝育后要求恢复生育能力的连续患者进行输卵管手术。结果:5例患者共吻合8根导管，证实通畅;平均总手术时间189±41分钟。6周后子宫超声造影显示8条输卵管吻合中有7条通畅。在平均5个月的随访时间后，有两次怀孕。结论:这项初步研究证明了机器人辅助妇科手术的可行性，输卵管再吻合是主要指征。然而，就目前而言，在妇科手术中，广泛使用它的适应症有限。

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来源期刊

European Surgery-Acta Chirurgica Austriaca 医学-外科

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal European Surgery – Acta Chirurgica Austriaca focuses on general surgery, endocrine surgery, thoracic surgery, heart and vascular surgery. Special features include new surgical and endoscopic techniques such as minimally invasive surgery, robot surgery, and advances in surgery-related biotechnology and surgical oncology. The journal especially addresses benign and malignant esophageal diseases, i.e. achalasia, gastroesophageal reflux disease, Barrett’s esophagus, and esophageal adenocarcinoma. In keeping with modern healthcare requirements, the journal’s scope includes inter- and multidisciplinary disease management (diagnosis, therapy and surveillance).