Tuschy Benjamin, Berlit Sebastian, Brade Joachim, Sütterlin Marc, Hornemann Amadeus
Department of Obstetrics and Gynaecology, University Medical Centre Mannheim, Heidelberg University , Mannheim , Germany.
Minim Invasive Ther Allied Technol. 2014 Aug;23(4):230-4. doi: 10.3109/13645706.2014.893890. Epub 2014 Feb 24.
Report of our initial experience in laparoscopic hysterectomy by a solo surgeon using a robotic camera system with three-dimensional visualisation.
This novel device (Einstein Vision®, B. Braun, Aesculap AG, Tuttlingen, Germany) (EV) was used for laparoscopic supracervical hysterectomy (LASH) performed by one surgeon. Demographic data, clinical and surgical parameters were evaluated. Our first 22 cases, performed between June and November 2012, were compared with a cohort of 22 age-matched controls who underwent two-dimensional LASH performed by the same surgeon with a second surgeon assisting.
Compared to standard two-dimensional laparoscopic hysterectomy, there were no significant differences regarding duration of surgery, hospital stay, blood loss or incidence of complications. The number of trocars used was significantly higher in the control group (p <.0001). All hysterectomies in the treatment group were performed without assistance of a second physician.
Robot-assisted solo surgery laparoscopic hysterectomy is a feasible and safe procedure. Duration of surgery, hospital stay, blood loss, and complication rates are comparable to a conventional laparoscopic hysterectomy.
报告一名外科医生使用具有三维可视化功能的机器人摄像系统进行腹腔镜子宫切除术的初步经验。
这种新型设备（德国图特林根市贝朗公司蛇牌的爱因斯坦视觉系统®，Einstein Vision®，B. Braun, Aesculap AG）用于一名外科医生实施的腹腔镜子宫颈上子宫切除术（LASH）。对人口统计学数据、临床和手术参数进行评估。将我们在2012年6月至11月期间完成的前22例手术与一组22例年龄匹配的对照病例进行比较，对照组由同一名外科医生在另一名外科医生协助下进行二维LASH手术。
与标准二维腹腔镜子宫切除术相比，手术时间、住院时间、失血量或并发症发生率方面无显著差异。对照组使用的套管针数量显著更多（p <.0001）。治疗组的所有子宫切除术均在无第二名医生协助的情况下完成。
机器人辅助单人手术腹腔镜子宫切除术是一种可行且安全的手术方法。手术时间、住院时间、失血量和并发症发生率与传统腹腔镜子宫切除术相当。
