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- Title
Forceps selection for robotic assisted hysterectomy against endometrial cancer.
- Authors
Kengo Hiranuma; Takashi Hirayama; Kazunari Fujino; Yasuhisa Terao
- Abstract
Objective: Our aim is to investigate the optimal combination of robotic forceps for performing robot-assisted hysterectomy (RAH) against endometrial cancer. Methods: The da Vinci Xi Surgical System was used as the robotic system. When we started RAH against endometrial cancer in our hospital in 2020, we used a Maryland bipolar 8 mm Xi for the 1st port, a camera for the 2nd port, monopolar curved scissors for the 3rd port, and Vessel Sealer Extend for the 4th port. To improve operability of surgery, we improved our forceps selection to double bipolar system. From 2023, The insufflation port was changed to a bifurcated 8mm air seal and installed at the 2nd and 4th port for further minimally invasive procedures. This made it possible to eliminate the need for an assist port. The assistant forceps could be used from 1st port as needed without any problems. We evaluated whether improved forceps selection reduced operative time with less invasion. Results: We examined whether reduced port and appropriate forceps selection reduced total operative time. Surgical time was safely reduced by reduced ports and appropriate forceps selection. Conclusion: By improving port selection, both console time and operation time are decreasing. Currently, the combination of a force bipolar in the 1st and 4th port and a monopolar curved scissors in the 3rd port with reduced port system is considered to be the best forceps option for RAH against endometrial cancer.
- Subjects
MARYLAND; ENDOMETRIAL cancer; MINIMALLY invasive procedures; ENDOMETRIAL surgery; FORCEPS; HYSTERECTOMY; ROBOTICS; CANCER hospitals
- Publication
Journal of Gynecologic Oncology, 2024, Vol 35, p39
- ISSN
2005-0380
- Publication type
Article
- DOI
10.3802/jgo.2024.35.S2.P36