A Comparison of Total Laparoscopic Hysterectomy to Robotically Assisted Hysterectomy: Surgical Outcomes in a Community Practice

Payne, Thomas N.; Dauterive, Francis R.

doi:10.1016/j.jmig.2008.01.008

Cited by 244 publications

(200 citation statements)

References 8 publications

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“…Robotic surgery is now being presented as a new tool that enhances safety, allows remote operation, and enables operations to be performed in a limited space 4. When compared to laparoscopic surgery, robotic surgery was found to be equivalent in selected urologic, gynecologic, and visceral operations 5, 6, 7, 8. Initial attempts to use robotic assistance in kidney transplantation were successful.…”

Section: Introductionmentioning

confidence: 99%

Intra-Abdominal Cooling System Limits Ischemia–Reperfusion Injury During Robot-Assisted Renal Transplantation

Meier

Piller

Hagen

et al. 2018

American Journal of Transplantation

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Robot‐assisted kidney transplantation is feasible; however, concerns have been raised about possible increases in warm ischemia times. We describe a novel intra‐abdominal cooling system to continuously cool the kidney during the procedure. Porcine kidneys were procured by standard open technique. Groups were as follows: Robotic renal transplantation with (n = 11) and without (n = 6) continuous intra‐abdominal cooling and conventional open technique with intermittent 4°C saline cooling (n = 6). Renal cortex temperature, magnetic resonance imaging, and histology were analyzed. Robotic renal transplantation required a longer anastomosis time, either with or without the cooling system, compared to the open approach (70.4 ± 17.7 min and 74.0 ± 21.5 min vs. 48.7 ± 11.2 min, p‐values < 0.05). The temperature was lower in the robotic group with cooling system compared to the open approach group (6.5 ± 3.1°C vs. 22.5 ± 6.5°C; p = 0.001) or compared to the robotic group without the cooling system (28.7 ± 3.3°C; p < 0.001). Magnetic resonance imaging parenchymal heterogeneities and histologic ischemia–reperfusion lesions were more severe in the robotic group without cooling than in the cooled (open and robotic) groups. Robot‐assisted kidney transplantation prolongs the warm ischemia time of the donor kidney. We developed a novel intra‐abdominal cooling system that suppresses the noncontrolled rewarming of donor kidneys during the transplant procedure and prevents ischemia–reperfusion injuries.

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Section: Introductionmentioning

confidence: 99%

Intra-Abdominal Cooling System Limits Ischemia–Reperfusion Injury During Robot-Assisted Renal Transplantation

Meier

Piller

Hagen

et al. 2018

American Journal of Transplantation

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show abstract

“…The intraoperative conversion rate to the abdominal route from the laparoscopic route dropped when the robot assistance was introduced. Also, there were no postoperative exploratory laparotomies in the robotic cohort as compared to 11% in the straight laparoscopic group [7]. Another study by Shashoua et al comparing RLH to TLH showed that the RLH group was associated with longer operative times, but shorter hospital stay, decreased narcotic used and decreased EBL.…”

Section: Discussionmentioning

confidence: 95%

“…Finally, the surgeon is seated in an ergonomically comfortable console which makes a prolonged case more tolerable. Robot-assisted laparoscopic hysterectomy has been shown to be safe and effective [7][8][9][10][11][12][13]. A study by Payne and Dauterive comparing TLH to RLH noted that the robotic cohort was associated with significantly less blood loss and decreased hospital stay, but longer operative time.…”

Section: Discussionmentioning

confidence: 99%

Comparison between Robot-Assisted Laparoscopic Hysterectomy and Total Laparoscopic Hysterectomy: A Cohort Study

Sakhel

Kirakosyan

Chauhan

et al. 2012

ISRN Minimally Invasive Surgery

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Objective. To compare the operative outcomes in patients who underwent robot-assisted total laparoscopic hysterectomy (RLH) versus total laparoscopic hysterectomy (TLH). Study Design. Retrospective chart review. All women who underwent RLH in hospital A and TLH in hospital B by a single surgeon were included. Results. 136 patients were included (73 in the RLH group and 63 in the TLH group). There were no conversions to laparotomy in the RLH group versus 7 (11.1%) in the TLH group (P = 0.004). The mean induction time was significantly greater (by 6 minutes) for RLH, independent of docking time, as compared to TLH (P < 0.001). Total procedure time was significantly less in the RLH group (82 minutes) as compared to TLH (108 minutes) (P = 0.001). Mean blood loss was less for RLH (46 mL) as compared to TLH (114 mL) (P < 0.001). A greater number of patients who underwent RLH were discharged on postoperative day 0 as compared to those receiving TLH (P = 0.055). Conclusion. RLH is a safe alternative to TLH and may offer some operative advantages, including fewer conversions to laparotomy, reduced procedure time, less blood loss, and earlier discharge.

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“…Al analizar los resultados observamos que estos son similares a los obtenidos en las publicaciones internacionales (17,18,19). Destaca la rápida curva de aprendizaje por parte de todos los cirujanos en la instalación del robot y una rápida estandarización de la técnica quirúrgica, favorecido por la amplia gama de movimientos que permiten las pinzas robóticas, siendo éstos muy intuitivos y de fácil aprendizaje.…”

Section: Discussionunclassified

“…Actualmente hay 2557 unidades robóticas operativas en el mundo, 25 de ellas en Sud Améri-ca y 4 en Chile. Hay más de 600 trabajos científicos que comparan la HTL versus HTR (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). Scandola (20), publica un metaanálisis donde compara HTR versus HTL, encontró que la primera presenta una frecuencia menor de estadía hospitalaria, complicaciones postoperatorias y de conversión a laparotomía; no hubo diferencia en el tiempo operatorio y magnitud del sangrado.…”

Section: Introductionunclassified

Histerectomía total laparoscópica asistida por robot: Experiencia de Clínica Indisa

S¹,

N²,

F³

et al. 2013

Rev. chil. obstet. ginecol.

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A Comparison of Total Laparoscopic Hysterectomy to Robotically Assisted Hysterectomy: Surgical Outcomes in a Community Practice

Cited by 244 publications

References 8 publications

Intra-Abdominal Cooling System Limits Ischemia–Reperfusion Injury During Robot-Assisted Renal Transplantation

Intra-Abdominal Cooling System Limits Ischemia–Reperfusion Injury During Robot-Assisted Renal Transplantation

Comparison between Robot-Assisted Laparoscopic Hysterectomy and Total Laparoscopic Hysterectomy: A Cohort Study

Histerectomía total laparoscópica asistida por robot: Experiencia de Clínica Indisa

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