Robotic Single-Site Surgery for Female-to-Male Transsexuals: Preliminary Experience

Bogliolo, Stefano; Cassani, Chiara; Babilonti, L; Gardella, Barbara; Zanellini, F.; Dominoni, Mattia; Santamaria, Valentina; Nappi, Rossella E.; Spinillo, Arsenio

doi:10.1155/2014/674579

Cited by 16 publications

(3 citation statements)

References 18 publications

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“…Three studies (Lopez et al [ 20 ], Jayakumaran et al [ 16 ], and Chien-Wen et al [ 22 ]) did not report this variable. Bagliolo et al [ 17 ] reported a minor postoperative complication in one case: vaginal bleeding. Bagliolo et al [ 21 ] described only one grade II complication (according to the Clavien–Dindo classification [ 13 ]).…”

Section: Resultsmentioning

confidence: 99%

Robotic Single-Site Hysterectomy in Gynecologic Benign Pathology: A Systematic Review of the Literature

et al. 2023

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Background and objectives: Total hysterectomy is one of the most common gynecologic surgical procedures and it is mainly performed for benign pathologies. The introduction of robotic single-site surgery (RSS) as an acceptable alternative to laparoendoscopic surgery combines the advantages of robotics with the aesthetic result of a single incision. This study aims to review the existing literature on a single-site robotic hysterectomy in patients with benign pathologies and verify its safety and feasibility. Materials and Methods: Following the recommendations in the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement, FP and AR systematically screened the PubMed, Embase, and Scopus databases. No temporal or geographical limitation was discriminatory. Studies containing data about feasibility and safety were included. Results: From 219, only eight studies met the inclusion criteria, and a total of 212 patients were included with a mean patient age of 45.42 years old (range 28–49.5 years old) and a mean BMI of 25.74 kg/m2 (range 22–28.5 kg/m2). The mean presurgical time, including port placement and docking time, was 15.56 (range 3–30) minutes. Mean console time was reported in six studies and is 83.21 min (range 25–180 min). The mean operative time is 136.6 min (range 60–294 min) and the mean blood loss is 43.68 mL (range 15–300 mL). Only two patients in the total analyzed had intraoperative complications and no conversion to LPT occurred. The median hospital stay was 1.71 days (range 0.96–3.5 days). The postoperative complication rate was estimated at 1.4% (vaginal bleeding). Conclusions: Our review supports the safety and feasibility of robotic single-site hysterectomy for benign gynecological diseases.

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Section: Resultsmentioning

confidence: 99%

Robotic Single-Site Hysterectomy in Gynecologic Benign Pathology: A Systematic Review of the Literature

et al. 2023

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“…The studies included 1 controlled clinical trial (16), 4 retrospective cohorts (8,9,17,18), 2 prospective cohorts (19,20), 1 case report (14), and 3 case series (20)(21)(22). The studies were conducted in the United States (8,9) Czech Republic (15)(16)(17), Italy (14,19), France (18), The Netherlands (23), Germany (20), and Belgium (21).…”

Section: Resultsmentioning

confidence: 99%

“…Laparoscopic hysterectomy: In a prospective study of 10 male transsexual patients, Lazard et al (19) report that single point access offers advantages over conventional laparoscopic technique because of reduced postoperative pain, faster return to normal activity and better cosmetic results. On the other hand, Bogliolo et al (23) performed robotic laparoscopic hysterectomy in a case series that included 10 patients. It is considered to be safe and to be associated with good prognosis in terms of quality of life.…”

Section: Resultsmentioning

confidence: 99%

Histerectomía por laparoscopia en un transexual masculino: reporte de caso y revisión de la literatura

Contreras

Sepúlveda-Agudelo

Wandurraga-Barón

2018

Rev. Colomb. Obstet. Ginecol.

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Objetivo: reportar un caso de histerectomía por laparoscopia convencional en cambio de sexo female-to-male en Colombia, en un paciente diagnosticado como transexual, y realizar una revisión de la literatura respecto a las distintas alternativas de histerectomía en el contexto de esta condición.Materiales y métodos: paciente de 35 años, transexual, en tratamiento hormonal con undecanoato de testosterona, sometido a histerectomía laparoscópica como parte de reasignación de sexo, en una institución de III nivel de complejidad, con evolución posoperatoria favorable. Se realizó búsqueda en las bases de datos de Medline vía PubMed, Embase y Lilacs, con los términos MESH: “hysterectomy”, “laparoscopy”, “transsexualism”, en inglés, español y checo, sin limitación de tiempo.Resultados: la investigación incluyó 11 estudios: 3 estudios de serie de casos, 6 cohortes, 1 ensayo clínico controlado y 1 reporte de caso. La histerectomía laparoscópica es la más utilizada para la reasignación de sexo en transexuales masculinos. La histerectomía vaginal es una alternativa por considerar si se requiere musculatura abdominal para futura faloplastia.Conclusiones: la histerectomía por laparoscopia surge como una alternativa a la histerectomía vaginal en pacientes transexuales masculinos sometidos a cirugía de reasignación de sexo. Se requieren ensayos controlados aleatorizados para una mejor evaluación comparativa de las alternativas quirúrgicas disponibles.

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Robotic-Assisted Single-Port Laparoscopic Hysterectomy

2017

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Robotic Single-Site Surgery for Female-to-Male Transsexuals: Preliminary Experience

Cited by 16 publications

References 18 publications

Robotic Single-Site Hysterectomy in Gynecologic Benign Pathology: A Systematic Review of the Literature

Robotic Single-Site Hysterectomy in Gynecologic Benign Pathology: A Systematic Review of the Literature

Histerectomía por laparoscopia en un transexual masculino: reporte de caso y revisión de la literatura

Robotic-Assisted Single-Port Laparoscopic Hysterectomy

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