Feasibility of robotic radical hysterectomy (RRH) with a new robotic system. Experience at Galaxy Care Laparoscopy Institute

The main objective of this study was to assess in a series of 30 patients, the feasibility, oncological safety and efficacy of radical hysterectomy by a new robotic system. Prospective study design. Galaxy Care Laparoscopy Institute and Multispeciality Hospital. We performed Robotic Radical Hysterec...

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Bibliographic Details
Published in:Journal of robotic surgery 2021-06, Vol.15 (3), p.451-456
Main Authors: Puntambekar, Shailesh P., Goel, Arjun, Chandak, Shruti, Chitale, Mihir, Hivre, Mangesh, Chahal, Honey, Rajesh, K. N., Manerikar, Kshitij
Format: Article
Language:English
Subjects:
Cameras
Cancer
Catheters
Clinical medicine
Clinical practice guidelines
Effectiveness
Endometrial cancer
Energy resources
Feasibility studies
Galaxies
Hospitals
Hysterectomy
Laparoscopy
Lymphatic system
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Original Article
Patients
Robotic surgery
Safety
Surgeons
Surgery
Surgical apparatus & instruments
Surgical outcomes
Tumors
Urology
Uterus
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Summary:The main objective of this study was to assess in a series of 30 patients, the feasibility, oncological safety and efficacy of radical hysterectomy by a new robotic system. Prospective study design. Galaxy Care Laparoscopy Institute and Multispeciality Hospital. We performed Robotic Radical Hysterectomy in patients from August 2019 through February 2020. All the surgeries were performed by a single surgeon (Puntambekar S). Since August 2019, 30 patients with early cervical cancer/endometrial cancer were selected for radical hysterectomy. All patients were in good general condition with controlled medical comorbidities. The mean operative time was 104 min, with mean total lymph node yield of 24.7. The average blood loss was 60 ml and the hospital stay was 2.1 days, and majority of the patients were catheter free by 1 week. Two patients developed uretero-vaginal fistula on the 8th day of surgery. One was managed with Double J stenting and in the other we did laparoscopic ureteroneocystostomy. Our study has demonstrated the feasibility, safety and efficacy of RRH by the Versius robotic systems.
ISSN:1863-2483
1863-2491
DOI:10.1007/s11701-020-01127-x