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- Title
Robotic natural orifice transluminal endoscopic surgery (NOTES) hysterectomy as a scarless and gasless surgery.
- Authors
Yang, Yun Seok
- Abstract
<bold>Background: </bold>To report a new surgical technique for hysterectomy using robotic natural orifice transluminal endoscopic surgery (NOTES) as a scarless and gasless procedure.<bold>Methods: </bold>Thirteen consecutive patients with benign uterine disease underwent robotic NOTES hysterectomy at Eulji University Hospital between February 2017 and May 2018.<bold>Results: </bold>Due to the presence of pelvic adhesions, one of these patients underwent hybrid robotic NOTES hysterectomy with the assistance of isobaric single port laparoscopy; however, there was no conversion to another hysterectomy type such as conventional laparoscopy, laparotomy, or traditional multiport robotic surgery. Median uterine weight was 290 g (range 115-892 g). Median docking and console times were 15 min (range 5-25 min) and 135 min (range 92-215 min), respectively. Mean change in hemoglobin on the first postoperative day was 0.67 ± 0.7 g/dL. Median EBL was 50 mL (20-450 mL). Median postoperative hospital stay was 3 days (3-4 days). No patients experienced postoperative complications such as damage to adjacent organs, re-operation, or vaginal cuff hematoma.<bold>Conclusions: </bold>Our findings show that robotic NOTES hysterectomy is a feasible and safe scarless and gasless surgical technique. It is an effective, minimally invasive vaginal access alternate to NOTES-assisted vaginal hysterectomy or conventional robotic laparoendoscopic single-site surgery hysterectomy in the surgical management of benign uterine disease. Nevertheless, further prospective controlled studies are needed to determine its full clinical application.
- Subjects
ENDOSCOPIC surgery; SURGICAL robots; HYSTERECTOMY; VAGINAL hysterectomy; SURGICAL complications; OPERATIVE surgery; POSTOPERATIVE pain; MULLERIAN ducts; UTERINE surgery; LENGTH of stay in hospitals; HEMOGLOBINS; ANTHROPOMETRY; UTERUS; LAPAROSCOPY; ENDOSCOPY
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2020, Vol 34, Issue 1, p492
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-019-07115-z