Robotic-Assisted Laparoscopic Ovarian Cystectomy during Pregnancy

被引:6
作者
Carter, Susanna [1 ]
Depasquale, Steven [3 ]
Stallings, Shawn [2 ]
机构
[1] Univ Tennessee, Coll Med, Dept Obstet & Gynecol, PGY-4,979 East Third St,Suite 720, Chattanooga, TN 37403 USA
[2] Univ Tennessee, Coll Med, Div Maternal Fetal Med, Chattanooga, TN USA
[3] Chattanoogas Program Womens Oncol, Chattanooga, TN USA
来源
AJP REPORTS | 2011年 / 1卷 / 01期
关键词
Robotic surgery; adnexal masses; complications of pregnancy;
D O I
10.1055/s-0030-1271220
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The use of robotic-assisted laparoscopic surgery (RALS) in gynecologic oncology is rising rapidly; however, the role of this modality in obstetrics has not been widely investigated. During pregnancy, the surgical management of adnexal masses is traditionally approached via laparotomy or laparoscopy. RALS offers a minimally invasive approach secondary to improved instrument dexterity and precision, 14-fold magnification, and 3-D imaging. For the pregnant patient, this translates into minimal manipulation of the gravid uterus, quicker recovery times, and potentially decreased maternal and fetal morbidity. Here we report six cases in which the da Vinci robotic surgical system (Intuitive Surgical Incorporated, Sunnyvale, CA) was used to perform an ovarian cystectomy during pregnancy. Pathology in all cases returned benign and each patient continued pregnancy without complications of surgery. In centers with the resources and adequately trained physicians, RALS offers the obstetric patient a safe and less invasive alternative to laparotomy or conventional laparoscopy. Although the advantages of robotic surgery are many, the limitations of this modality remain elevated equipment costs as well as the time investment necessary to train physicians.
引用
收藏
页码:21 / 24
页数:4
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