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KMID : 1137020110220020120
Journal of Gynecologic Oncology
2011 Volume.22 No. 2 p.120 ~ p.126
Robotic single-port transumbilical total hysterectomy: a pilot study
Nam Eun-Ji

Kim Sang-Wun
Lee Maria
Yim Ga-Won
Paek Ji-Heum
Lee San-Hui
Kim Sung-Hoon
Kim Jae-Hoon
Kim Jae-Wook
Kim Young-Tae
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 311minutes), 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.
KEYWORD
Robotic surgery, Single-port, Laparoscopic, Hysterectomy, Gynecology
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