scholarly journals Long-term satisfaction of patients after laparoscopic and robotic-assisted hysterectomy

2021 ◽  
Author(s):  
Georgios Gitas ◽  
I. Alkatout ◽  
L. Proppe ◽  
L. Hanker ◽  
L. Allahqoli ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Sexual Function ◽  
Subgroup Analysis ◽  
Da Vinci ◽  
Laparoscopic Hysterectomy ◽  
Conventional Laparoscopy ◽  
Obese Patients ◽  
Da Vinci Xi ◽  
Robotic Assisted

Abstract Introduction Da-Vinci-Xi is the most recent device used in gynecologic robotic surgery. The aim of the present study was to compare the long-term satisfaction of patients who had undergone conventional laparoscopic hysterectomy or robotic assisted laparoscopic hysterectomy using the Da-Vinci-Xi surgical system. Methods All hysterectomies performed at the University Hospital of Luebeck from 2018 to 2019 were reviewed. Postoperative outcomes were compared between women who had undergone total hysterectomy with da Vinci Xi (n = 42) or conventional laparoscopy (n = 97). Postoperative outcomes included pain, elimination of complaints after surgery, bladder function, sexual function, satisfaction with the cosmetic outcome, positive experiences after robotic surgery, and satisfaction with the surgeon’s preoperative explanation. Obese patients were evaluated separately in a subgroup analysis. Results Both groups had similar baseline characteristics and complication rates. Preoperative complaints subsided after surgery in a little more than 90% of patients. No significant differences were noted between groups in this regard (p = 0.262), or with reference to postoperative pain after one week (p = 0.866) and one month (p = 0.580), stress incontinence (p = 0.343), sexual function (p = 0.766) and the cosmetic outcome of the abdominal incisions (p = 0.273). The majority of patients who had undergone robotic surgery (96.8%) would be willing to undergo the procedure again if necessary. The subgroup analysis of obese patients revealed no significant differences. Conclusion The Da-Vinci-Xi device did not improve the long-term surgical satisfaction of normal-weight or obese patients who underwent hysterectomy compared with patients who underwent conventional laparoscopy performed by experienced laparoscopic surgeons.

The da Vinci Xi Robotic Four-Arm Approach for Robotic-Assisted Minimally Invasive Esophagectomy

2018 ◽  
Vol 66 (05) ◽  
pp. 407-409 ◽  
Author(s):  
Edin Hadzijusufovic ◽  
Jelle Piet-Hein Ruurda ◽  
Hauke Lang ◽  
Richard van Hillegersberg ◽  
Peter Philipp Grimminger
Keyword(s):  
Robotic Surgery ◽  
Minimally Invasive ◽  
First Generation ◽  
Da Vinci ◽  
Thoracoscopic Surgery ◽  
Minimally Invasive Esophagectomy ◽  
Da Vinci Xi ◽  
Robotic Assisted ◽  
Invasive Esophagectomy ◽  
Extended Approach

AbstractRobotic surgery is gaining importance in complex thoracoscopic surgery, such as robotic-assisted minimally invasive esophagectomy (RAMIE). The RAMIE procedure was designed using the first generation of the robotic system. The latest da Vinci Xi system has substantially increased the dexterity, especially designed for multiquadrant surgery. The original three-arm RAMIE approach was modified including the robotic four-arm use for the thoracoscopic and laparoscopic part of the operation. This extended approach (four-arm RAMIE approach) provides more flexibility and raises the independence of the surgeon.

scholarly journals Postoperative Telephone-Based Questionnaire on Quality of Life after Robotic-Assisted Laparoscopic Hysterectomy versus Conventional Total Laparoscopic Hysterectomy

2020 ◽  
Vol 9 (9) ◽  
pp. 2849 ◽  
Author(s):  
Mohamed Elessawy ◽  
Sarah Schneekloth ◽  
Veronika Günther ◽  
Nicolai Maass ◽  
Liselotte Mettler ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Function ◽  
Sexual Intercourse ◽  
Operating Time ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Conventional Laparoscopy ◽  
Abdominal Incision ◽  
Robotic Assisted

Aim: The objective of the study was to evaluate the benefits of robotic-surgery for hysterectomy compared to conventional laparoscopy for benign indications. A specially prepared telephone-based questionnaire was used postoperatively. Method: All women (n = 155) undergoing total laparoscopic hysterectomy for benign indications either by the robotic-assisted procedure (RALH) or conventional laparoscopy (CL) between 1 January 2013 and 31 December 2017 at the Department of the Gynecology, University Hospitals, Campus Kiel, Germany, were eligible for analysis. Intra-operative and postoperative parameters affecting the patients’ quality of life were assessed by a telephone-based questionnaire. The latter addressed postoperative pain, limitations of basic hygiene, daily activity, active pursuit of hobbies, sexual intercourse, and days of sick leave. All patients received the questionnaire by post at least three weeks prior to being contacted on the phone. Results: 78% of the contacted patients responded to the questionnaire; 96% (n = 115) of the patients said they would recommend the operation to other patients. Both groups needed 42 days to resume their regular hobbies. In whole 90.8% (n = 108) were total satisfied with the cosmetic result of the abdominal incision; the numbers in the respective groups were 80% (80% n = 36) in RALH and 97.3% (n = 72) in CL. The difference was significant on the Chi-square test (p = 0.002). 5% (n = 7) were dissatisfied with the scar (13.3%; n = 6) in the RALH group, and 1.4% (n = 1) in CL. In all 1.7 % of patients were dissatisfied with the position of the incisions; the respective numbers were 4.4 % (n = 2) in the RALH group and no patient in the CL group. 33% of patients experienced no limitations in regard of sexual intercourse after the operation. The median number of days taken to resume sexual intercourse after the operation was 56 days in the CL group, and 49 days in the RALH group. Nearly 30% (n = 25) were hesitant to resume intercourse. The median operating time was 145 min in the RALH group, which was significantly longer than the 117 min taken in the CL group (p < 0.001). Conclusions: The RALH procedure was associated with some minor advantages for the patients according to the results, however it does not have major significant advantages, especially in regard of early restoration of sexual function, while the CL shows shorter operating times and similar limitation. Postoperative counseling of patients should be aligned to their fears and expectations in regard of sexual function.

scholarly journals Robotic-Assisted Laparoscopic Hysterectomy: Outcomes in Obese and Morbidly Obese Patients

2012 ◽  
Vol 16 (3) ◽  
pp. 421-427 ◽  
Author(s):  
Taryn Gallo ◽  
Shabnam Kashani ◽  
Divya A. Patel ◽  
Karim Elsahwi ◽  
Dan-Arin Silasi ◽  
...  
Keyword(s):  
Laparoscopic Hysterectomy ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Robotic Assisted

scholarly journals Operative technique and early experience for robotic-assisted laparoscopic nephroureterectomy (RALNU) using da Vinci Xi

SpringerPlus ◽  
2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Fadi Darwiche ◽  
Sanjaya Swain ◽  
George Kallingal ◽  
Sanoj Punnen ◽  
Murugesan Manoharan ◽  
...  
Keyword(s):  
Operative Technique ◽  
Da Vinci ◽  
Early Experience ◽  
Da Vinci Xi ◽  
Robotic Assisted ◽  
Laparoscopic Nephroureterectomy

scholarly journals Robotic-assisted Laparoscopic Liver Resections - Technical Considerations for da Vinci Xi

Chirurgia ◽  
2021 ◽  
Vol 116 (4) ◽  
pp. 431
Author(s):  
Nita Thiruchelvam ◽  
Adrian K.H. Chiow ◽  
Lee Lip Seng ◽  
Olexii Potapov ◽  
Marco V. Marino
Keyword(s):  
Da Vinci ◽  
Da Vinci Xi ◽  
Robotic Assisted ◽  
Liver Resections ◽  
Technical Considerations
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