Kim Jeong Jin, Choi Chahien, Nam Su Hyun, Kim Woo Young
Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
J Minim Invasive Gynecol. 2017 Sep-Oct;24(6):926-931. doi: 10.1016/j.jmig.2017.04.025. Epub 2017 May 6.
To present our initial experience with reduced-port robotic surgery (RPRS) for myomectomy using the Octo-Port system (DalimSurgNet, Seoul, Korea).
Prospective and noncomparative study (Canadian Task Force classification II-3).
University hospital.
Nineteen consecutive patients with symptomatic uterine myomas desiring conservative minimally invasive robotic surgery from October 2015 to December 2016.
An 8.5-mm or 12-mm robotic camera cannula was inserted through 1 of the Octo-Port channels and an 8-mm conventional robotic port was inserted into a 10-mm channel of the Octo-Port through a 3-cm transumbilical incision. An additional 8-mm conventional robotic port was inserted into a typical robotic port site in the patient's right abdomen.
Feasibility and operative outcomes of RPRS myomectomy. The median docking time and console time were 10 minutes (range, 4-22) and 90 minutes (range, 29-198). The largest myoma was located on the anterior uterine wall in 11 patients (57.9%). The median myoma size and weight were 7.2 cm (range, 4.1-10.5) and 141 g (range, 42-590), respectively. Median operative blood loss and change in hemoglobin were 100 mL (range, 30-700) and 2.6 mg/dL (range, .1-3.8), respectively. The procedure was successfully performed via RPRS in 89.5% of patients; 2 patients required placement of 1 to 2 additional robotic ports, resulting in a return to traditional multiport robotic surgery. There were no major postoperative complications or postoperative hernias.
Our experience demonstrated the feasibility of RPRS for myomectomy using the Octo-Port system in selected patients.
介绍我们使用Octo-Port系统（韩国首尔DalimSurgNet公司）进行减孔机器人子宫肌瘤切除术（RPRS）的初步经验。
前瞻性非对照研究（加拿大工作组分类II-3）。
大学医院。
2015年10月至2016年12月期间连续19例有症状的子宫肌瘤患者，希望接受保守性微创机器人手术。
通过Octo-Port的一个通道插入一个8.5毫米或12毫米的机器人摄像套管，通过一个3厘米的脐部切口将一个8毫米的传统机器人端口插入Octo-Port的一个10毫米通道。另一个8毫米的传统机器人端口插入患者右腹部的一个典型机器人端口位置。
RPRS子宫肌瘤切除术的可行性和手术结果。中位对接时间和控制台操作时间分别为10分钟（范围4-22分钟）和90分钟（范围29-198分钟）。11例患者（57.9%）最大的肌瘤位于子宫前壁。肌瘤大小和重量的中位数分别为7.2厘米（范围4.1-10.5厘米）和141克（范围42-590克）。术中失血和血红蛋白变化的中位数分别为100毫升（范围30-700毫升）和2.6毫克/分升（范围0.1-3.8毫克/分升）。89.5%的患者通过RPRS成功完成手术；2例患者需要额外放置1至2个机器人端口，并转为传统的多端口机器人手术。无重大术后并发症或术后疝。
我们的经验表明，在选定的患者中，使用Octo-Port系统进行RPRS子宫肌瘤切除术是可行的。
