Galaxy Care Laparoscopy Institute, 25A, Karve road, Erandwane, Pune, 411004, India.
J Robot Surg. 2021 Jun;15(3):451-456. doi: 10.1007/s11701-020-01127-x. Epub 2020 Jul 24.
The main objective of this study was to assess in a series of 30 patients, the feasibility, oncological safety and efficacy of radical hysterectomy by a new robotic system. Prospective study design. Galaxy Care Laparoscopy Institute and Multispeciality Hospital. We performed Robotic Radical Hysterectomy in patients from August 2019 through February 2020. All the surgeries were performed by a single surgeon (Puntambekar S). Since August 2019, 30 patients with early cervical cancer/endometrial cancer were selected for radical hysterectomy. All patients were in good general condition with controlled medical comorbidities. The mean operative time was 104 min, with mean total lymph node yield of 24.7. The average blood loss was 60 ml and the hospital stay was 2.1 days, and majority of the patients were catheter free by 1 week. Two patients developed uretero-vaginal fistula on the 8th day of surgery. One was managed with Double J stenting and in the other we did laparoscopic ureteroneocystostomy. Our study has demonstrated the feasibility, safety and efficacy of RRH by the Versius robotic systems.
本研究的主要目的是在 30 例患者中评估一种新的机器人系统进行根治性子宫切除术的可行性、肿瘤安全性和疗效。前瞻性研究设计。Galaxy Care 腹腔镜研究所和多专科医院。我们在 2019 年 8 月至 2020 年 2 月期间对患者进行了机器人根治性子宫切除术。所有手术均由一名外科医生（Puntambekar S）完成。自 2019 年 8 月以来，我们选择了 30 例早期宫颈癌/子宫内膜癌患者进行根治性子宫切除术。所有患者一般情况良好，合并症得到控制。平均手术时间为 104 分钟，平均总淋巴结产量为 24.7。平均出血量为 60ml，住院时间为 2.1 天，大多数患者在 1 周内无需留置导尿管。有 2 例患者在术后第 8 天发生输尿管阴道瘘。其中 1 例采用双 J 支架治疗，另 1 例采用腹腔镜输尿管-膀胱再吻合术。我们的研究表明，Versius 机器人系统行 RRH 具有可行性、安全性和有效性。
