Early Experience of Robotic Hysterectomy for Treatment of Benign Uterine Disease

To demonstrate the initial experience of robotic hysterectomy to treat benign uterine disease at a university hospital in Brazil.  A cross-sectional study was conducted to review data from the first twenty patients undergoing robotic hysterectomy at our hospital. The surgeries were performed from No...

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Bibliographic Details
Published in:Revista Brasileira de ginecologia e obstetrícia 2016-09, Vol.38 (9), p.450-455
Main Authors: Gutierrez, Ana Luiza, Binda, Márcia Luisa Montalvão Appel, Ramos, José Geraldo Lopes
Format: Article
Language:English
Subjects:
Adult
Brazil
Cross-Sectional Studies
da vinci
Female
Gynecologic Surgical Procedures - methods
gynecological surgery
Hospitals, University
Humans
Hysterectomy - methods
learning curve
OBSTETRICS & GYNECOLOGY
Original
robotic hysterectomy
Robotic Surgical Procedures
Uterine Diseases - surgery
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Summary:To demonstrate the initial experience of robotic hysterectomy to treat benign uterine disease at a university hospital in Brazil.  A cross-sectional study was conducted to review data from the first twenty patients undergoing robotic hysterectomy at our hospital. The surgeries were performed from November 2013 to August 2014, all of them by the same surgeon. The patients were reviewed for preoperative characteristics, including age, body mass index (BMI), indications for the hysterectomy and previous surgeries. Data of operative times, complications, postoperative pain and length of hospital stay were also collected.  The total operating room time was 252.9 minutes, while the operative time was 180.7 minutes and the console time was 136.6 minutes. Docking time was 4.2 minutes, and the average undocking time was 1.9 minutes. There was a strong correlation between the operative time and the patient's BMI (  = 0.670;  = 0.001). The console time had significant correlation with the uterine weight and the patient's BMI (  = 0.468;  = 0.037). A learning curve was observed during docking and undocking times.  Despite its high cost, the robotic surgery is gaining more space in gynecological surgery. By the results obtained in our hospital, this surgical proposal proved to be feasible and safe. Our initial experience demonstrated a learning curve in some ways.
ISSN:0100-7203
1806-9339
1806-9339
DOI:10.1055/s-0036-1592345