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KMID : 1201620100030010007
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Journal of Women s Medicine
2010 Volume.3 No. 1 p.7 ~ p.11
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Initial experiences of Laparoscopic surgery using the da Vinci robotic system for the benign and malignant gynecologic diseases
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Bae Ji-Hae
Cho Young-Lae
Lee Yoon-Soon
Hong Dae-Gy
Sung Su-Kyung
Chong Gun-Oh
Park Il-Su
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Abstract
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Objective: To evaluate surgical outcomes, feasibility and safety of laparoscopic surgery using the da Vinci robotic system.
Methods: Fifteen patients underwent various gynecologic robotic assisted laparoscopic surgery using the da Vinci robotic system between March 2008 and November 2009, and were assessed for surgical outcomes. This retrospective case series analysis was carried out in the department of obstetrics and gynecology at Kyungpook National University Hospital, Daegu, Korea. The main reasons for operation were myoma (n=5), followed by endometrial cancer (n=3), cervical cancer (n=4), endometriosis (n=2) and adenomyosis (n=1).
Results: All patients successfully underwent various laparoscopic surgery using the da Vinci robotic system such as myomectomy, hysterectomy, radical hysterectomy, ovarian cystectomy, and staging operation with no conversion to laparotomy. The mean operating time was 184.5±54.6 minutes, the mean hemoglobin change and estimated blood loss were 1.9±0.8 g/dL and 36.3±27.1 mL. The mean time from incision to docking the robot was 10.1±6.1 minutes and the mean console time was 119.7±67.1 minutes. The length of hospital stay averaged 5.4±1.7 days. No complications requiring treatment occurred.
Conclusion: Laparoscopic surgery using the da Vinci robotic system is a feasible and safe treatment modality in the benign and malignant gynecologic diseases.
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KEYWORD
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Laparoscopic surgery, Robotic surgery, Benign and malignant gynecologic diseases
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