A randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy

Mendise, Thomas J.; Roulette, G. Dante; Gruenigen, Vivian E. von

doi:10.1016/j.ajog.2013.07.008

Cited by 1 publication

(1 citation statement)

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“…In addition, the dVSS can also realize the possibility of remote surgery, which is simpler and easier to learn for young doctors than traditional laparoscopy. [ 17 ] The dVSS has several specific surgical benefits: 3-dimensional vision, quicker learning curve, high definition, greater precision, and greater ergonomic potential [ 18 ] ; vNOTES hysterectomy assisted by dVSS is also more friendly for young surgeons. Studies have shown that for surgeons with experience in single-port laparoscopy and abdominal robotic surgery, they need to complete 10 cases of vNOTES hysterectomy assisted by dVSS, and 10 to 20 cases of port placement and robot docking can achieve proficiency.…”

Section: Discussionmentioning

confidence: 99%

A case control study of vNOTES hysterectomy with the da Vinci surgical system and conventional vNOTES hysterectomy

Zhang,

Liu,

Zhang

et al. 2024

Medicine

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The aim of the case control study was to compare surgical outcomes of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy with the da Vinci surgical system (dVSS) and conventional vNOTES. A case control study was performed on 25 cases in our hospital. Patients (n = 8) who underwent vNOTES hysterectomy with dVSS were selected to compare with the control group (n = 17) consisted of patients who underwent conventional vNOTES. Patients in the 2 groups underwent different operations respectively, and no case was transferred to transabdominal laparoscopy. In the conventional vNOTES group, 1 patient happened intraoperative hemorrhage of about 1000 mL, and was treated with blood transfusion, and the other one of vNOTES hysterectomy with dVSS had poor incision healing within 1 month after surgery. The other patients had no intraoperative and postoperative complications. The difference of pain scores on the first day (P = .006) and the third day (P = .045) after the 2 surgical methods differed significantly. No statistical differences were observed in operation time, median hospital stay, blood loss, decreased hemoglobin 3 days after surgery, and postoperative white blood cell count. vNOTES hysterectomy with dVSS is safe and feasible, and can achieve the same effect as the conventional vNOTES hysterectomy. And this method may alleviate the pain of patients.

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Section: Discussionmentioning

confidence: 99%