Department of Obstetrics and Gynecology, Tokyo Medical University Hospital, Tokyo, Japan.
Robotic Surgery Center, Tokyo International Ohori Hospital, Tokyo, Japan.
Int J Med Robot. 2021 Dec;17(6):e2315. doi: 10.1002/rcs.2315. Epub 2021 Aug 2.
To verify the usefulness of single assistant robotic surgery (SA-RS) using da Vinci Xi or X performed for total hysterectomy.
The SA-RS group (S-group) includes surgeries in which the surgeon performed all surgical operations other than that of the uterine manipulator, while the dual assistant robotic surgery group (D-group) includes surgeries performed by the surgeon with two assistants. In S-group, the forceps and camera were replaced during surgery in cases of a large uterus with limited range of motion of the instrument. A comparative study of patient background, intraoperative and postoperative results and surgery-related cost was performed between the two groups.
No significant differences were observed between the two groups. On the contrary, S-group showed a significant reduction in preparation time and wound closure time, and a savings of $768.
SA-RS for total hysterectomy was possible, which is excellent in terms of cost, esthetics, and manpower.
为了验证达芬奇 Xi 或 X 单助手机器人手术（SA-RS）在全子宫切除术方面的有效性。
SA-RS 组（S 组）包括手术中除子宫操纵器外所有手术操作均由外科医生完成的手术，而双助手机器人手术组（D 组）则包括由外科医生和两名助手共同完成的手术。在 S 组中，如果子宫较大且器械活动范围有限，则在手术中更换钳子和摄像头。对两组患者的背景、术中及术后结果和手术相关费用进行了比较研究。
两组之间无显著差异。相反，S 组在准备时间和伤口闭合时间上有显著减少，节省了 768 美元。
SA-RS 用于全子宫切除术是可行的，在成本、美观和人力方面都非常出色。
