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Robotic single-port transumbilical total hysterectomy: a pilot study.

Authors
 Eun Ji Nam  ;  Sang Wun Kim  ;  Maria Lee  ;  Ga Won Yim  ;  Ji Heum Paek  ;  San Hui Lee  ;  Sunghoon Kim  ;  Jae Hoon Kim  ;  Jae Wook Kim  ;  Young Tae Kim 
Citation
 Journal of Gynecologic Oncology, Vol.22(2) : 120-126, 2011 
Journal Title
 Journal of Gynecologic Oncology 
ISSN
 2005-0380 
Issue Date
2011
Abstract
OBJECTIVE: To evaluate the feasibility of robotic single-port transumbilical total hysterectomy using a home-made surgical glove port system. METHODS: We retrospectively reviewed the medical records of patients who underwent robotic single-port transumbilical total hysterectomy between January 2010 and July 2010. All surgical procedures were performed through a single 3-4-cm umbilical incision, with a multi-channel system consisting of a wound retractor, a surgical glove, and two 10/12-mm and two 8 mm trocars. RESULTS: Seven patients were treated with robotic single-port transumbilical total hysterectomy. Procedures included total hysterectomy due to benign gynecological disease (n=5), extra-fascial hysterectomy due to carcinoma in situ of the cervix (n=1), and radical hysterectomy due to cervical cancer IB1 (n=1). The median total operative time was 109 minutes (range, 105 to 311 minutes), the median blood loss was 100 mL (range, 10 to 750 mL), and the median weight of the resected uteri was 200 g (range, 40 to 310 g). One benign case was converted to 3-port robotic surgery due to severe pelvic adhesions, and no post-operative complications occurred. CONCLUSION: Robotic single-port transumbilical total hysterectomy is technically feasible in selected patients with gynecological disease. Robotics may enhance surgical skills during single-port transumbilical hysterectomy, especially in patients with gynecologic cancers.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93455
DOI
10.3802/jgo.2011.22.2.120
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실)
Yonsei Authors
김상운(Kim, Sang Wun) ; 김성훈(Kim, Sung Hoon) ; 김영태(Kim, Young Tae) ; 김재욱(Kim, Jae Wook) ; 김재훈(Kim, Jae Hoon) ; 남은지(Nam, Eun Ji) ; 백지흠(Paek, Ji Heum) ; 이마리아(Lee, Maria) ; 이산희(Lee, San Hui) ; 임가원(Yim, Ga Won)
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