Back to Browse Journals » International Journal of Women's Health » Volume 3

Early experience with the da Vinci® surgical system robot in gynecological surgery at King Abdulaziz University Hospital

Authors Sait KH

Published Date July 2011 Volume 2011:3 Pages 219—226

DOI http://dx.doi.org/10.2147/IJWH.S23046

Published 26 July 2011

Khalid H Sait
Obstetrics and Gynecology Department, Faculty of Medicine, Gynecology Oncology Unit, King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Background: The purpose of this study was to review our experience and the challenges of using the da Vinci® surgical system robot during gynecological surgery at King Abdulaziz University Hospital.
Methods: A retrospective study was conducted to review all cases of robot-assisted gynecologic surgery performed at our institution between January 2008 and December 2010. The patients were reviewed for indications, complications, length of hospital stay, and conversion rate, as well as console and docking times.
Results: Over the three-year period, we operated on 35 patients with benign or malignant conditions using the robot for a total of 62 surgical procedures. The docking times averaged seven minutes. The mean console times for simple hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic lymphadenectomy were 125, 47, and 62 minutes, respectively. In four patients, laparoscopic procedures were converted to open procedures, giving a conversion rate of 6.5%. All of the conversions were among the first 15 procedures performed. The average hospital stay was 3 days. Complications occurred in five patients (14%), and none were directly related to the robotic system.
Conclusion: Our early experience with the robot show that with proper training of the robotic team, technical difficulty with the robotic system is limited. There is definitely a learning curve that requires performance of gynecological surgical procedures using the robot.

Keywords
: da Vinci robot, gynecological surgery, laparoscopy

Download Article [PDF] View Full Text [HTML] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php

Readers of this article also read:

Visualization of interaction between inorganic nanoparticles and bacteria or fungi

André Chwalibog, Ewa Sawosz, Anna Hotowy, et al

International Journal of Nanomedicine 2010, 5:1085-1094

Published Date: 6 December 2010

A novel spray-dried nanoparticles-in-microparticles system for formulating scopolamine hydrobromide into orally disintegrating tablets

Li FQ, Yan C, Bi J, Lv WL, Ji RR, Chen X, Su JC, Hu JH

International Journal of Nanomedicine 2011, 6:897-904

Published Date: 28 April 2011

Reversible exposure of hydrophobic residues on albumin as a novel strategy for formulation of nanodelivery vehicles for taxanes

Garro AG, Beltramo DM, Alasino RV, Leonhard V, Heredia V, Bianco ID

International Journal of Nanomedicine 2011, 6:1193-1200

Published Date: 13 June 2011

Second-generation aptamer-conjugated PSMA-targeted delivery system for prostate cancer therapy

Wu X, Ding B, Gao J, Wang H, Fan W, Wang X, Zhang W, Wang X, Ye L, Zhang M, Ding X, Liu J, Zhu Q, Gao S

International Journal of Nanomedicine 2011, 6:1747-1756

Published Date: 19 August 2011

Spinal cord injury and its association with blunt head trauma

Paiva WS, Oliveira AMP, de Andrade AF, Amorim RL, Lourenço L, Teixeira MJ

International Journal of General Medicine 2011, 4:613-615

Published Date: 5 September 2011

Increased fibroblast functionality on CNN2-loaded titania nanotubes

Wei HB, Wu SY, Feng ZH, Zhou W, Dong Y, Wu GF, Bai SZ, Zhao YM

International Journal of Nanomedicine 2012, 7:1091-1100

Published Date: 23 February 2012

pH-sensitive strontium carbonate nanoparticles as new anticancer vehicles for controlled etoposide release

Qian WY, Sun DM, Zhu RR, Du XL, Liu H, Wang SL

International Journal of Nanomedicine 2012, 7:5781-5792

Published Date: 20 November 2012

Health locus of control and the sense of self-efficacy in patients with systolic heart failure: a pilot study

Rydlewska A, Krzysztofik J, Libergal J, Rybak A, Banasiak W, Ponikowski P, Jankowska EA

Patient Preference and Adherence 2013, 7:337-343

Published Date: 19 April 2013

Circulating microRNA-122a as a diagnostic marker for hepatocellular carcinoma

Luo J, Chen M, Huang H, Yan T, Zhang M, Zhang K, Deng S

OncoTargets and Therapy 2013, 6:577-583

Published Date: 22 May 2013