Single assistant versus dual assistant robotic surgery for robot‐assisted laparoscopic hysterectomy using da Vinci Xi or X. Issue 6 (2nd August 2021)

• Record Type: Journal Article
• Authors: Ito, Hiroe; Yanagida, Satoshi; Toyonaga, Yoichiro; Yamashita, Hideyuki; Ohori, Makoto; Isaka, Keiichi
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 17:Issue 6(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-08-02
• Subjects: hysterectomy -- robotic surgery -- single assistant robotic surgery; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.2315
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: Background: To verify the usefulness of single assistant robotic surgery (SA‐RS) using da Vinci Xi or X performed for total hysterectomy. Methods: The SA‐RS group (S‐group) includes surgeries in which the surgeon performed all surgical operations other than that of the uterine manipulator, while the dual assistant robotic surgery group (D‐group) includes surgeries performed by the surgeon with two assistants. In S‐group, the forceps and camera were replaced during surgery in cases of a large uterus with limited range of motion of the instrument. A comparative study of patient background, intraoperative and postoperative results and surgery‐related cost was performed between the two groups. Results: No significant differences were observed between the two groups. On the contrary, S‐group showed a significant reduction in preparation time and wound closure time, and a savings of $768. Conclusion: SA‐RS for total hysterectomy was possible, which is excellent in terms of cost, esthetics, and manpower.