Skip to main content
Top
Published in: Surgical Endoscopy 6/2005

01-06-2005 | Original article

Telerobotic-assisted laparoscopic hysterectomy for benign and oncologic pathologies: initial clinical experience with 30 patients

Authors: F. Marchal, P. Rauch, J. Vandromme, I. Laurent, A. Lobontiu, B. Ahcel, J. L. Verhaeghe, C. Meistelman, M. Degueldre, J. P. Villemot, F. Guillemin

Published in: Surgical Endoscopy | Issue 6/2005

Login to get access

Abstract

Background

Telerobotic-assisted laparoscopic attempts to provide technological solutions to the inherent limitations of traditional laparoscopic surgery. The aim of this study is to report the first experience of two teams concerning telerobotic-assisted laparoscopic hysterectomy for benign and malignant pathologies.

Methods

This study included 14 patients at the University Hospital Saint Pierre of Brussels (Belgium) and 16 patients at the Cancer Center of Nancy (France) from September 1999 to July 2003.

Results

The indications for surgery were uterine malignant diseases in 12 cases (stade I) (41%), and benign pathologies of the uterus in 18 cases (59%). Five postoperative complications (17%) occurred, none related to the robotic system.

Conclusion

Robotic surgery can be safely performed in gynecologic and gynecologic–oncologic surgery with no increase in complication rates. A significant advance is represented by the surgeon’s ergonomic improvement.
Literature
1.
go back to reference Abu-Rustum, NR, Gemignani, ML, Moore, K, Sonoda, Y, Vankatraman, E, Brown, C, Poynor, E, Chi, DS, Barakat, RR 2003Total laparoscopic radical hysterectomy with pelvic lymphadenectomy using the argon-beam coagulator: pilot data and comparison to laparotomyGynecol Oncol91402409CrossRefPubMed Abu-Rustum, NR, Gemignani, ML, Moore, K, Sonoda, Y, Vankatraman, E, Brown, C, Poynor, E, Chi, DS, Barakat, RR 2003Total laparoscopic radical hysterectomy with pelvic lymphadenectomy using the argon-beam coagulator: pilot data and comparison to laparotomyGynecol Oncol91402409CrossRefPubMed
2.
go back to reference Ahlering, TE, Skarecky, D, Lee, D, Cayman, RV 2003Successful transfer to open skills to a laparoscopis environment using a robotic interface: initial experience with laparoscopic radical prostatectomyJ Urol17017381741CrossRefPubMed Ahlering, TE, Skarecky, D, Lee, D, Cayman, RV 2003Successful transfer to open skills to a laparoscopis environment using a robotic interface: initial experience with laparoscopic radical prostatectomyJ Urol17017381741CrossRefPubMed
3.
go back to reference Brice, M, Guillemin, F 1979Techniques nouvelles en microchirurgieFrisch, R eds. Considerations upon a new technological approach of problems in deep microsurgeryDocumentation Médicale OBERVALNancy, Frances7179 Brice, M, Guillemin, F 1979Techniques nouvelles en microchirurgieFrisch, R eds. Considerations upon a new technological approach of problems in deep microsurgeryDocumentation Médicale OBERVALNancy, Frances7179
4.
go back to reference Carpentier, A, Loulmet, D, Aupecle, B 1999Computer-assisted cardiac surgeryLancet353379380CrossRef Carpentier, A, Loulmet, D, Aupecle, B 1999Computer-assisted cardiac surgeryLancet353379380CrossRef
5.
go back to reference Degueldre, M, Vandromme, J, Huong, PT, Cadiere, GB 2000Robotically assisted laparoscopic microsurgical tubal reanastomosis: a feasibility studyFertil Steril7410201023CrossRefPubMed Degueldre, M, Vandromme, J, Huong, PT, Cadiere, GB 2000Robotically assisted laparoscopic microsurgical tubal reanastomosis: a feasibility studyFertil Steril7410201023CrossRefPubMed
6.
go back to reference Diaz-Arrastia, C, Jurnalov, C, Gomez, G, Townsend, C,Jr 2002Laparoscopic hysterectomy using a computer-enhanced surgical robotSurg Endosc1612711273CrossRefPubMed Diaz-Arrastia, C, Jurnalov, C, Gomez, G, Townsend, C,Jr 2002Laparoscopic hysterectomy using a computer-enhanced surgical robotSurg Endosc1612711273CrossRefPubMed
7.
go back to reference Garry, R, Fountain, J, Mason, S, Napp, V, Brown, J, Hawe, J, Clayton, R, Abbott, J, Phillips, G, Whittaker, M, Lilford, R, Bridgman, S 2004The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomyBr Med J328129133 Garry, R, Fountain, J, Mason, S, Napp, V, Brown, J, Hawe, J, Clayton, R, Abbott, J, Phillips, G, Whittaker, M, Lilford, R, Bridgman, S 2004The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomyBr Med J328129133
8.
go back to reference Holud, Z, Jabor, A, Kliment, L, Voracek, J, Lukac, J 2000Comparison of two procedures for laparovaginal hysterectomy: a radomized trialEur J Obstet Gynecol Reprod Biol903136CrossRefPubMed Holud, Z, Jabor, A, Kliment, L, Voracek, J, Lukac, J 2000Comparison of two procedures for laparovaginal hysterectomy: a radomized trialEur J Obstet Gynecol Reprod Biol903136CrossRefPubMed
9.
go back to reference Hubens, G, Coveliers, H, Balliu, L, Ruppert, M, Vaneerdeweg, W 2003A performance study comparing manual and robotically assisted laparoscopic surgery using the da Vinci systemSurg Endosc1715951599CrossRefPubMed Hubens, G, Coveliers, H, Balliu, L, Ruppert, M, Vaneerdeweg, W 2003A performance study comparing manual and robotically assisted laparoscopic surgery using the da Vinci systemSurg Endosc1715951599CrossRefPubMed
10.
go back to reference Malur, S, Possover, M, Michels, W, Schneider, A 2000Laparoscopic-assisted vaginal versus abdominal surgery in patients with endometrial cancer—A prospective randomized trialGynecol Oncol80239244CrossRef Malur, S, Possover, M, Michels, W, Schneider, A 2000Laparoscopic-assisted vaginal versus abdominal surgery in patients with endometrial cancer—A prospective randomized trialGynecol Oncol80239244CrossRef
11.
go back to reference Marescaux, J, Smith, MK, Fölscher, D, Jamali, F, Malassagne, B, Leroy, J 2001Telerobotic laparoscopic cholecystectomy: initial clinical experience with 25 patientsAnn Surg23417CrossRefPubMed Marescaux, J, Smith, MK, Fölscher, D, Jamali, F, Malassagne, B, Leroy, J 2001Telerobotic laparoscopic cholecystectomy: initial clinical experience with 25 patientsAnn Surg23417CrossRefPubMed
12.
go back to reference Melvin, WS 2003Robots in surgery: advanced gastrointestinal applications and credentialingJ Gastrointest Surg6481483CrossRef Melvin, WS 2003Robots in surgery: advanced gastrointestinal applications and credentialingJ Gastrointest Surg6481483CrossRef
13.
go back to reference Melvin, WS, Needleman, BJ, Krause, KR, Schneider, C, Ellison, EC 2003Computer-enhanced vs. standard laparoscopic antireflux surgeryJ Gastrointest Surg61116CrossRef Melvin, WS, Needleman, BJ, Krause, KR, Schneider, C, Ellison, EC 2003Computer-enhanced vs. standard laparoscopic antireflux surgeryJ Gastrointest Surg61116CrossRef
14.
go back to reference Piver, MS, Rutledge, F, Smith, JP 1974Five classes of extended hysterectomy for women with cervical cancerObstet Gynecol44265272PubMed Piver, MS, Rutledge, F, Smith, JP 1974Five classes of extended hysterectomy for women with cervical cancerObstet Gynecol44265272PubMed
15.
go back to reference Pomel, C, Atallah, D, Le Bouedec, G, Rouzier, R, Morice, P, Castaigne, D, Dauplat, J 2003Laparoscopic radical hysterectomy for invasive cervical cancer: 8-year experience of a pilot studyGynecol Oncol91534539CrossRefPubMed Pomel, C, Atallah, D, Le Bouedec, G, Rouzier, R, Morice, P, Castaigne, D, Dauplat, J 2003Laparoscopic radical hysterectomy for invasive cervical cancer: 8-year experience of a pilot studyGynecol Oncol91534539CrossRefPubMed
16.
go back to reference Ramirez, PT, Wolf, JK, Levenback, C 2003Laparoscopic port-site metastases: etiology and preventionGynecol Oncol91179189CrossRefPubMed Ramirez, PT, Wolf, JK, Levenback, C 2003Laparoscopic port-site metastases: etiology and preventionGynecol Oncol91179189CrossRefPubMed
17.
go back to reference Talamani, MA 2003Overview—current clinical and preclinical use of robotics for surgeryJ Gastrointest Surg7479480CrossRefPubMed Talamani, MA 2003Overview—current clinical and preclinical use of robotics for surgeryJ Gastrointest Surg7479480CrossRefPubMed
18.
go back to reference Talamani, MA, Chapman, S, Horgan, S, Melvin, WS 2003A prospective analysis of 211 robotic-assisted surgical proceduresSurg Endosc1715211524CrossRefPubMed Talamani, MA, Chapman, S, Horgan, S, Melvin, WS 2003A prospective analysis of 211 robotic-assisted surgical proceduresSurg Endosc1715211524CrossRefPubMed
19.
go back to reference Veelen, MA, Nederlof, EAL, Goossens, RHM, Schot, CJ, Jakimowicz, JJ 2003Ergonomic problems encountered by the medical team related to products used for minimally invasive surgerySurg Endosc1710771081CrossRefPubMed Veelen, MA, Nederlof, EAL, Goossens, RHM, Schot, CJ, Jakimowicz, JJ 2003Ergonomic problems encountered by the medical team related to products used for minimally invasive surgerySurg Endosc1710771081CrossRefPubMed
20.
go back to reference Wattiez, A, Soriano, D, Cohen, SB, Nervo, P, Canis, M, Botchorishvili, R, Mage, G, Pouly, JL, Mille, P, Bruhat, MA 2002The learning curve of total laparoscopic hysterectomy: comparative analysis of 1647 casesJ Am Assoc Gynecol Laparosc9339345CrossRefPubMed Wattiez, A, Soriano, D, Cohen, SB, Nervo, P, Canis, M, Botchorishvili, R, Mage, G, Pouly, JL, Mille, P, Bruhat, MA 2002The learning curve of total laparoscopic hysterectomy: comparative analysis of 1647 casesJ Am Assoc Gynecol Laparosc9339345CrossRefPubMed
Metadata
Title
Telerobotic-assisted laparoscopic hysterectomy for benign and oncologic pathologies: initial clinical experience with 30 patients
Authors
F. Marchal
P. Rauch
J. Vandromme
I. Laurent
A. Lobontiu
B. Ahcel
J. L. Verhaeghe
C. Meistelman
M. Degueldre
J. P. Villemot
F. Guillemin
Publication date
01-06-2005
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 6/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-004-9122-4

Other articles of this Issue 6/2005

Surgical Endoscopy 6/2005 Go to the issue