Author:
Bratila Petre,Manta Anca,Paun Alexandra,Bratila Elvira
Abstract
Starting from the first robotic hysterectomy, currently, this method is widely accepted all over the world as an alternative to open or laparoscopic surgery due to the technical advantages it offers. We are currently using the DaVinci Xi platform, whose components, instruments, and accessories are described. This chapter aims to present all surgical steps of a robotically assisted hysterectomy, starting with patient positioning, uterine manipulator insertion, port insertion, pneumoperitoneum performing, and the operative technique of the total robotic hysterectomy: connective vascular disconnection, colpotomy, uterus retrieval, and colporrhaphy. A special mention belongs to radical robotic hysterectomy with sentinel node detection and pelvic lymphadenectomy. The chapter ends with a brief description of the perioperative complications.
Reference37 articles.
1. Corliss WR, Johnson EG. Teleoperators and Human Augmentation. An AEC-NASA Technology Survey. Washington, DC: Office of Technology Utilization, National Aeronautics, and Space Administration; 1967
2. Paul HA, Bargar WL, Mittlestadt B, et al. Development of a surgical robot for cementless total hip arthroplasty. Clinical Orthopaedics and Related Research. 1992;285:57-66
3. Davies BL, Ng W, Hibberd RD. Prostatic resection: An example of safe robotic surgery. Robotica. 1993;11:561-566
4. Harris S, Arambula-Cosio F, Mei Q , et al. The Probot—An active robot for prostate resection. Proceedings of the Institution of Mechanical Engineers, Part H: The New England Journal of Medicine. 1997;211:317-325
5. Zajtchuk R, Grande C. Part IV. Surgical Combat Casualty Care: Anesthesia and Perioperative Care of the Combat Casualty, Vol 1. Textbook of Military Medicine. Washington, DC: Office of The Surgeon General at TMM Publications; 1995