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Revista chilena de obstetricia y ginecología

versão On-line ISSN 0717-7526

Resumo

ROJAS T, Iván et al. Uso rutinario del montaje lateral (side-docking) en cirugía robótica ginecológica: estudio de factibilidad. Rev. chil. obstet. ginecol. [online]. 2012, vol.77, n.6, pp.428-433. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262012000600004.

Background: Most of studies on robotic gynaecologic surgery have used traditional docking, with the robot located between the patient's legs. A significant limitation is the limited vaginal access. Recently, side docking with the robot docked at 45° angle to the lower torso has been described. Objective: To report our experience using the side docking since the beginning of our robotic program. Method: 22 consecutive patients who underwent robotic procedures for gynaecological diseases were included. All surgeries were performed using the side-docking. Data collected included demographics, surgical procedures, operative time, complications, conversion rate and hospital stay. Results: All procedures were completed robotically with no conversion. Mean age was 46 years. Mean BMI was 26±5 kg/m2. Mean trocar time was 12±6 minutes and the mean docking time was 12±4minutes. Mean operative time was 111±60 minutes. When our first 10 cases were compared with the others we found a statistically significant reduction in docking time (p=0.03) and console time (p=0.02). Surgical procedures were the following: hysterectomy (n=18), sacrocolpopexy (n=1), annexectomy (n=1), endometriosis resection (n=1), pelvic lymphadenectomy (n=4), aortic lymphade-nectomy (n=1). Two complications occurred: a bladder injury and a bowel perforation. Mean hospital stay was 36 hours. Conclusion: Side-docking is easy to learn and improve vaginal access, reduce assistant's fatigue and facilitate specimen retrieval.

Palavras-chave : Robotic surgery; gynaecologic robotic surgery; side docking; learning curve.

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