Center for Infertility and Reproductive Surgery, Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Center for Infertility and Reproductive Surgery, Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Fertil Steril. 2015 May;103(5):1370-7.e1. doi: 10.1016/j.fertnstert.2015.02.021. Epub 2015 Mar 16.
To report the first cases of robotic single-site (RSS) myomectomy with the use of the Da Vinci Si Surgical System with wristed semirigid instrumentation.
Case series.
University hospital.
PATIENT(S): Four patients with symptomatic uterine fibroids desiring conservative minimally invasive surgical treatment.
INTERVENTION(S): Four RSS myomectomies were performed with the Da Vinci Single-Site platform. Data regarding patient characteristics, indication of surgery, and perioperative outcomes were collected.
MAIN OUTCOME MEASURE(S): Safety and reproducibility of RSS myomectomy.
RESULT(S): All RSS procedures were completed successfully. Median operative time was 210 minutes (range 202-254 min). Median blood loss was 103 mL (range 75-200 mL). No instrument failures were noted during the procedures. No operative or major postoperative complications occurred. Two patients were discharged on the day of surgery, and two were discharged after overnight observation.
CONCLUSION(S): RSS myomectomy with the use of wristed semi-rigid instrumentation is a feasible procedure. Indications, safety, and use of the technique will be confirmed by growing experience.
报告首例使用配备腕式半刚性器械的达芬奇 Si 外科系统行机器人单部位（RSS）子宫肌瘤剔除术的病例。
病例系列。
大学医院。
4 名有症状的子宫肌瘤且希望行保守微创治疗的患者。
4 例行 RSS 子宫肌瘤剔除术，使用达芬奇单部位平台。收集患者特征、手术适应证和围手术期结果的数据。
RSS 子宫肌瘤剔除术的安全性和可重复性。
所有 RSS 手术均顺利完成。中位手术时间为 210 分钟（范围 202-254 分钟）。中位出血量为 103 毫升（范围 75-200 毫升）。手术过程中未发生器械故障。无手术或主要术后并发症发生。2 例患者于手术当天出院，2 例患者在过夜观察后出院。
使用配备腕式半刚性器械的 RSS 子宫肌瘤剔除术是一种可行的手术方法。随着经验的积累，适应证、安全性和该技术的应用将得到进一步证实。
