Int J Med Robot - Side-docking in robotic-assisted gynaecologic cancer surgery.

Tópicos

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Resumo

CKGROUND: The majority of previous experience with the robotic-assisted laparoscopic technique for gynaecological procedures has utilized a method in which the robot is centrally located (CD) between the patient's legs.METHODS: Twelve consecutive patients undergoing robotic-assisted procedures for gynaecological malignancies were positioned in a side-docking (SD) fashion, in which the robot is positioned lateral to the patient. The relevant clinical parameters were collected and compared to the previous 12 patients undergoing surgery using the conventional, centre-docking (CD) technique.RESULTS: Specimen retrieval time for larger uteri was reduced in the SD group compared to the CD group (p = 0.03). Total operative times were slightly lower in the SD group and specimen retrieval times for all uterine weights were unchanged when compared to the CD group. Statistical significance was not observed.CONCLUSIONS: Side-docking is an alternative to the conventional centre-docking approach in robotic-assisted surgery. Its use may facilitate larger specimen retrieval while decreasing operative time and associated costs.

Resumo Limpo

ckground major previous experi roboticassist laparoscop techniqu gynaecolog procedur util method robot central locat cd patient legsmethod twelv consecut patient undergo roboticassist procedur gynaecolog malign posit sidedock sd fashion robot posit later patient relev clinic paramet collect compar previous patient undergo surgeri use convent centredock cd techniqueresult specimen retriev time larger uteri reduc sd group compar cd group p total oper time slight lower sd group specimen retriev time uterin weight unchang compar cd group statist signific observedconclus sidedock altern convent centredock approach roboticassist surgeri use may facilit larger specimen retriev decreas oper time associ cost

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