Referinte ginecologice


Histercetomia da Vinci in afectiuni benigne


A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice.
Payne TN, Dauterive FR.
J Minim Invasive Gynecol. 2008 May-Jun;15(3):286-91. Epub 2008 Mar 6.
In this study looking back on 100 patients treated before and 100 patients treated after the introduction of da Vinci Surgery into their practice, the surgeon authors found it was more likely that hysterectomy patients treated before da Vinci would need a large abdominal incision or would need conversion to open surgery. In other words, before da Vinci, the surgeons more often would have to "open up" patients during a minimally invasive surgery -- for example, when it was discovered that the patient's uterus size or adhesions from prior surgeries made a minimally invasive approach impossible to complete. Also in this study, using da Vinci Surgery also reduced the length of the surgery, reduced blood loss by half and significantly shortened length of stay in the hospital (from 1.6 to 1 day). This study concludes that da Vinci Surgery may help surgeons complete more minimally invasive hysterectomies and may help reduce the frequency of hysterectomy performed using large abdominal incisions.  Abstract


John F. Boggess, Paola A. Gehrig, Victoria Bae-Jump, Lisa Abaid, Aaron Shafer, Daniel Clarke-Pearson, Teresa L. Rutledge, John T. Soper, Linda Van Le, Wesley C. Fowler, Jr. Robotic Assistance Improves Minimally Invasive Surgery For Endometrial Cancer. Poster presented at SGO 2007. Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill.

Senapati S, Advincula A. Surgical techniques: robot-assisted laparoscopic Myomectomy with the da Vinci® surgical system. J Robotic Surg. 2007 March; 1(1): 69-74. Abstract. Full text.


Advincula AP. Surgical techniques: robot-assisted laparoscopic hysterectomy with the da Vinci surgical system. Int J Med Robot. 2006 Dec;2(4):305-11. Abstract.


Advincula AP, Reynolds RK. The use of robot-assisted laparoscopic hysterectomy in the patient with a scarred or obliterated anterior cul-de-sac. JSLS. 2005 Jul-Sep;9(3):287-91. Abstract.

Beste TM, Nelson KH, Daucher JA. Total laparoscopic hysterectomy utilizing a robotic surgical system. JSLS. 2005 Jan-Mar; 9(1): 13-15. Abstract.

Marchal F, Rauch P, Vandromme J, Laurent I, Lobontiu A, Ahcel B, Verhaeghe JL, Meistelman C, Degueldre M, Villemot JP, Guillemin F. Telerobotic-assisted laparoscopic hysterectomy for benign and oncologic pathologies: initial clinical experience with 30 patients. Telerobotic-assisted laparoscopic hysterectomy for benign and oncologic pathologies: initial clinical experience with 30 patients. Surg Endosc. 2005 May 3 [Epub ahead of print] Abstract.


Advincula AP, Falcone T. Laparoscopic robotic gynecologic surgery. Obstet Gynecol Clin North Am. 2004 Sep; 31(3): 599-609. Abstract.

Ferguson JL, Beste TM, Nelson KH, Daucher JA. Making the transition from standard gynecologic laparoscopy to robotic laparoscopy. JSLS. 2004 Oct-Dec; 8(4): 326-328. Abstract.


Diaz-Arrastia C, Jurnalov C, Gomez G, Townsend C Jr. Laparoscopic hysterectomy using a computer-enhanced surgical robot. Surg Endosc. 2002 Sep; 16(9): 1271-1273. Abstract.

Falcone T, Steiner CP. Robotically assisted gynaecological surgery. Hum Fertil (Camb). 2002 May; 5(2): 72-74. Abstract.


Histerectomia da Vinci in stadiile incipiente de cancer

Boggess JF. Robotic surgery in gynecologic oncology: evolution of a new surgical paradigm J Robotic Surg. 2007 March; 1(1): 69-74. Abstract. Full text.

Aaron Shafer, John F. Boggess, Paola Gehrig, Victoria Bae-Jump, Lisa Abaid, Daniel Clarke-Pearson, Wesley C. Fowler Jr., Teresa L. Rutledge, John Soper, Linda Van Le. Type III radical hysterectomy for obese women with cervical carcinoma: Robotic versus open. Abstract presented at SGO 2007. University of North Carolina, Chapel Hill, NC.

Lynn D. Kowalski, MD, Camille A. Falkner, MD, Stephanie A. Wishnev, MD Nevada Surgery and Cancer Care 1 Sunrise Hospital and Medical Center, Las Vegas, NV. Incorporation of Robotics into a Gynecologic Oncology Practice: The First 100 Cases. Poster presented at SGO 2007.


Miomectomia da Vinci

Advincula AP, Song A, Burke W, Reynolds RK. Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 2004 Nov;11(4):511-8. Abstract.

Bocca S, Stadtmauer L, Oehninger S. Uncomplicated full term pregnancy after da Vinci-assisted laparoscopic myomectomy. Reprod Biomed Online. 2007 Feb;14(2):246-9. Abstract.

Dharia SP, Falcone T. Robotics in reproductive medicine. Fertil Steril. 2005 Jul;84(1):1-11. Review. Abstract.


Sacrocolpopexia da Vinci


Di Marco DS, Chow GK, Gettman MT, Elliott DS. Robotic-assisted laparoscopic sacrocolpopexy for treatment of vaginal vault prolapse. Urology. 2004 Feb; 63(2): 373-376. Abstract.

Elliott DS, Chow GK, Gettman M. Current status of robotics in female urology and gynecology. World J Urol. 2006 Jun;24(2):188-92. Epub 2006 Mar 24. Abstract.

Elliott DS, Krambeck AE, Chow GK. Long-term results of robotic assisted laparoscopic sacrocolpopexy for the treatment of high grade vaginal vault prolapse. J Urol. 2006 Aug;176(2):655-9. Abstract.


Desi studiile clinice sustin eficienta sistemului da Vinci cand este utilizat in chirurgia minim invaziva, rezultatele individuale pot varia. Chirurgia cu ajutorul sistemului da Vinci poate fi nepotrvita pentru anumite cazuri. Discutati cu medicul dumneavoastra despre optiunile terapeutice cit si despre riscurile si benficiile pe care la implica.

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