Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이정훈 | * |
dc.date.accessioned | 2019-12-03T16:30:30Z | - |
dc.date.available | 2019-12-03T16:30:30Z | - |
dc.date.issued | 2019 | * |
dc.identifier.issn | 1092-6429 | * |
dc.identifier.other | OAK-26151 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/252322 | - |
dc.description.abstract | Background: To overcome the limitations of single-port laparoscopic myomectomy (SP-LM) and robotic single-site myomectomy (RSSM), we designed a new surgical technique, the so-called hybrid RSSM (H-RSSM), by integrating the advantages of both procedures. This study describes the surgical technique of H-RSSM and reports our initial experiences. Materials and Methods: Between February 2018 and September 2018, H-RSSM was performed in 25 women with symptomatic fibroids. During the H-RSSM, the enucleation of the fibroid was carried out using single-port laparoscopy and the uterine defect was repaired using robotic single-site surgery. To assess the feasibility and efficacy of H-RSSM, the results of this study were compared with those of our previous study on SP-LM and its modified surgical technique, so-called single-port laparoscopically assisted transumbilical ultraminilaparotomic myomectomy (SPLA-TUM). Results: The mean operation time, hemoglobin change, return of bowel activity, and length of hospital stay were 69.4 ± 18.2 minutes, 1.2 ± 0.9 g/dL, 37.1 ± 15.5 hours, and 4.0 ± 0.8 days, respectively. There was no conversion to laparotomy or multiport laparoscopy. There were no surgical or wound complications. Comparing with SP-LM and SPLA-TUM, H-RSSM had significantly shorter operation time and return of bowel activity. Conclusion: H-RSSM can reduce operating time and the conversion rate to multiport laparoscopy and can be considered a feasible alternative for selected patients with symptomatic fibroids. However, further studies are needed to clearly demonstrate these benefits. © Copyright 2019, Mary Ann Liebert, Inc., publishers 2019. | * |
dc.language | English | * |
dc.publisher | Mary Ann Liebert Inc. | * |
dc.subject | gynecology | * |
dc.subject | laparoscopy | * |
dc.subject | myomectomy | * |
dc.subject | robotic surgery | * |
dc.subject | single-port surgery | * |
dc.title | Hybrid robotic single-site myomectomy using the gelpoint platform | * |
dc.type | Article | * |
dc.relation.issue | 11 | * |
dc.relation.volume | 29 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1475 | * |
dc.relation.lastpage | 1480 | * |
dc.relation.journaltitle | Journal of Laparoendoscopic and Advanced Surgical Techniques | * |
dc.identifier.doi | 10.1089/lap.2019.0313 | * |
dc.identifier.scopusid | 2-s2.0-85074736963 | * |
dc.author.google | Yuk J.-S. | * |
dc.author.google | Kim Y.A. | * |
dc.author.google | Lee J.H. | * |
dc.contributor.scopusid | 이정훈(55690001800;57206731877) | * |
dc.date.modifydate | 20240426115828 | * |