Tips and Tricks: Single-Site Robotic-Assisted Myomectomy

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• 作者：Gaby N. Moawad ; MD ; ^{gmoawad@mfa.gwu.edu" class="auth_mail" title="E-mail the corresponding author} ; David Samuel ; MD ; Elias D. Abi Khalil ; MD
• 关键词：Laparoscopy ; Minimally invasive gynecologic surgery ; Robotic-assisted myomectomy ; Single site
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2016
• 出版时间：September-October 2016
• 年：2016
• 卷：23
• 期：6
• 页码：861
• 全文大小：410 K

文摘

To describe some tips and tricks that facilitate a single-site robotic- assisted (RA) myomectomy.

Design

Stepwise surgical tutorial using a narrated video (Canadian Task Force classification III).

Setting

Academic tertiary care hospital.

Interventions

Single-incision RA myomectomy is a novel technique that presents unique surgical challenges. Although similar in outcomes to multiport myomectomy, single-site myomectomy is more cosmetically appealing. Traditional laparoscopic single- site myomectomy has been associated with a steep learning curve. The robotic single-site platform mitigates some of these difficulties, which allows for the reproducibility and safety of this technique in appropriately selected patients. In this surgical tutorial, we present a case of a 7-cm type 2-5 fibroid removed with this approach.

Conclusion

Single-site RA myomectomy is a safe, minimally invasive option for appropriately selected patients. Although it is a challenging procedure, it provides excellent cosmesis and is reproducible with adequate training and expertise.