从标准妇科腹腔镜检查过渡到机器人辅助腹腔镜检查。
Making the transition from standard gynecologic laparoscopy to robotic laparoscopy.
作者信息
Ferguson Jennifer L, Beste Todd M, Nelson Keith H, Daucher James A
机构信息
Department of Obstetrics and Gynecology, East Carolina University Brody School of Medicine, Greenville, North Carolina 27858, USA.
出版信息
JSLS. 2004 Oct-Dec;8(4):326-8.
OBJECTIVES
To determine the feasibility of using a simple procedure, a bilateral tubal ligation, as a transition procedure when adopting robotic laparoscopy for gynecologic surgery.
METHOD
To obtain robotic credentialing and gain experience with the robotic system, the surgeons first went through robotic training, then 4 women desiring permanent sterilization had robotically assisted laparoscopic bilateral tubal ligations performed, using the Parkland method.
RESULTS
Total operating room time varied from 1 hour 25 minutes to 2 hours 31 minutes. Improvement in operating time for each surgeon was noted with each successive case. Best times in robotic cases were similar to those of standard laparoscopy.
CONCLUSION
Robotically assisted laparoscopic tubal ligation using the Parkland method is a satisfactory procedure to provide transition for gynecologic surgeons and operating room personnel to gynecologic robotic surgery.
目的
确定采用一种简单手术（双侧输卵管结扎术）作为妇科手术采用机器人腹腔镜手术时的过渡手术的可行性。
方法
为获得机器人手术资质并积累机器人系统的经验，外科医生首先接受机器人培训，然后对4名希望进行永久绝育的女性采用帕克兰方法实施了机器人辅助腹腔镜双侧输卵管结扎术。
结果
总手术时间从1小时25分钟至2小时31分钟不等。每位外科医生在每连续一例手术中的手术时间都有改善。机器人手术的最佳时间与标准腹腔镜手术相似。
结论
采用帕克兰方法进行机器人辅助腹腔镜输卵管结扎术是一种令人满意的手术，可为妇科外科医生和手术室工作人员向妇科机器人手术过渡提供途径。
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