Gargiulo Antonio R, Feltmate Colleen, Srouji Serene S
Division of Reproductive Endocrinology and Infertility, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St., Boston, MA USA.
Center for Robotic Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St., Boston, MA USA.
Fertil Res Pract. 2015 Dec 21;1:19. doi: 10.1186/s40738-015-0011-4. eCollection 2015.
Conventional single-incision laparoscopic surgery has been successfully employed for treatment of ovarian endometriomas. However, this technique presents surgeons with formidable ergonomic challenges, that make its widespread adoption unlikely. Robotic assistance in single-incision laparoscopic surgery provides adequate instrument triangulation through a single fulcrum, while eliminating ergonomic challenges to the surgeon. The objective of this video is to describe a novel technique of laparoscopic excision and ablation of ovarian endometriomas with single-site robotic assistance. Footage from a single surgical case is shown in our video. The da Vinci Si surgical system with da Vinci Single-Site platform was utilized. A flexible CO2 laser fiber was employed as the main energy tool. To describe a technique of single-incision laparoscopic excision and ablation of endometriomas with robotic assistance. Footage from a single surgical case is shown in this video. The da Vinci Si surgical system with da Vinci Single-Site platform was utilized. A flexible CO2 laser fiber was employed as the main energy tool.
Our technique achieved excellent surgical, clinical and cosmetic results, with complete excision and ablation of the endometriomas and no complications. The procedure was completed in day-surgery setting.
Our step-by-step video tutorial shows how the dedicated single incision laparoscopy technology for the da Vinci Si surgical system can be safely and effectively applied to the excision and ablation of ovarian endometriomas.
传统单切口腹腔镜手术已成功用于治疗卵巢子宫内膜异位囊肿。然而，这项技术给外科医生带来了巨大的人体工程学挑战，这使得其难以广泛应用。单切口腹腔镜手术中的机器人辅助通过单个支点提供了足够的器械三角定位，同时消除了外科医生面临的人体工程学挑战。本视频的目的是描述一种在单部位机器人辅助下腹腔镜切除和消融卵巢子宫内膜异位囊肿的新技术。我们的视频展示了一个手术病例的手术过程。使用了带有达芬奇单部位平台的达芬奇Si手术系统。一根柔性二氧化碳激光光纤被用作主要能量工具。描述一种在机器人辅助下单切口腹腔镜切除和消融子宫内膜异位囊肿的技术。本视频展示了一个手术病例的手术过程。使用了带有达芬奇单部位平台的达芬奇Si手术系统。一根柔性二氧化碳激光光纤被用作主要能量工具。
我们的技术取得了优异的手术、临床和美容效果，子宫内膜异位囊肿完全切除和消融，且无并发症。该手术在日间手术环境下完成。
我们的分步视频教程展示了用于达芬奇Si手术系统的专用单切口腹腔镜技术如何安全有效地应用于卵巢子宫内膜异位囊肿的切除和消融。
