View : 96 Download: 0

Robotic Single-Site Myomectomy: Clinical Analysis of 61 Consecutive Cases

Title
Robotic Single-Site Myomectomy: Clinical Analysis of 61 Consecutive Cases
Authors
Choi, Eun JiRho, A. MiLee, Sa RaJeong, KyungahMoon, Hye-Sung
Ewha Authors
문혜성정경아이사라
SCOPUS Author ID
문혜성scopus; 정경아scopus; 이사라scopus
Issue Date
2017
Journal Title
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
ISSN
1553-4650JCR Link1553-4669JCR Link
Citation
vol. 24, no. 4, pp. 632 - 639
Keywords
MyomaRobotic single-site myomectomy
Publisher
ELSEVIER SCIENCE INC
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Study Objectives: To report 61 consecutive cases of successful robotic single-site myomectomy (RSSM), and to evaluate the feasibility and safety of RSSM. Design: Retrospective analysis of 61 cases involving RSSM (Canadian Task Force classification III). Setting: Department of Obstetrics and Gynecology, College of Medicine, Robot Surgery Center, Ewha Womans University, Seoul, Republic of Korea. Patients: Sixty-one patients who underwent RSSM performed by 3 gynecologic surgeons at Ewha Womans University between December 2014 and May 2016. Interventions: We analyzed the patients' baseline characteristics and surgical variables and the trends in operation-related variables according to surgeon's level of experience with RSSM. Measurements and Main Results: There were no cases of conversion to laparotomy or robotic multisite myomectomy. RSSM was successful for multiple uterine myomas up to 12 in number and for large myomas up to 12.8 cm in longest diameter. In terms of myoma location, RSSM was successful for all types of myomas, including subserosal, intramural, and intra-ligamentary. The mean docking time was 5.45 +/- 2.84 minutes (2.0 similar to 12.0 minutes), mean total operation time was 135.98 +/- 59.62 minutes (60 similar to 295 minutes), mean estimated blood loss was 182.62 +/- 153.02 mL (10 similar to 600 mL), and mean skin incision length was 2.70 +/- 0.19 cm (2.4 similar to 3.10 cm). The mean time to postoperative gas passage was 28.71 +/- 12.99 hours (3.33 similar to 76.50 hours), and the mean duration of hospitalization was 4.21 +/- 0.84 days (3 similar to 6 days). No patient required additional analgesics other than applied intravenous patient-controlled analgesia. The mean change in hemoglobin level was 2.43 +/- 0.87 g/dL, and the incidence of postoperative anemia requiring blood transfusion was only 3.3% (2 cases). No intraoperative or perioperative complications were noted. Conclusion: RSSM is a feasible and safe procedure even in cases large, multiple, and intramural type myomas. Therefore, this option could be extended to appropriately selected patients. (C) 2017 AAGL. All rights reserved.
DOI
10.1016/j.jmig.2017.02.003
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE