Robotic presacral neurectomy - technique and results

Background The feasibility, safety and outcomes of robotic presacral neurectomy were evaluated. Methods A retrospective analysis was performed of 33 patients with midline chronic pelvic pain, who underwent robotic presacral neurectomy. Data were collected during the period March 2004–March 2010. Res...

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Bibliographic Details
Published in:The international journal of medical robotics + computer assisted surgery 2012-03, Vol.8 (1), p.73-76
Main Authors: Kapetanakis, Vasilis, Jacob, Kristina, Klauschie, Jennifer, Kho, Rosanne, Magrina, Javier
Format: Article
Language:English
Subjects:
Abscess - etiology
Adolescent
Adult
Clostridium difficile - metabolism
Colitis - etiology
Colitis - microbiology
Female
Hospitalization
Humans
Neurosurgery - methods
pelvic pain
Pelvic Pain - surgery
presacral neurectomy
Reproducibility of Results
Retrospective Studies
robotic
Robotics
Time Factors
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Summary:Background The feasibility, safety and outcomes of robotic presacral neurectomy were evaluated. Methods A retrospective analysis was performed of 33 patients with midline chronic pelvic pain, who underwent robotic presacral neurectomy. Data were collected during the period March 2004–March 2010. Results All patients underwent robotic presacral neurectomy and additional robotic procedures. Mean operating time for robotic presacral neurectomy was 5.8 (range 4.4–6.9) min. Mean blood loss, including concomitant procedures, was 39 (range 15–150) ml. Most patients were discharged the same day (60%) and mean hospital stay was 0.39 (range 0–2) days. There were no conversions or intra‐operative complications. There were two postoperative complications: one pelvic abscess and one Clostridium difficile colitis. Pain improvement was reported by 73% (22/30) of patients. Conclusion Robotic presacral neurectomy is safe and feasible, resulting in improvement of pelvic pain in selected patients. Copyright © 2011 John Wiley & Sons, Ltd.
ISSN:1478-5951
1478-596X
DOI:10.1002/rcs.438