Ding DC, Hong MK, Chu TY, Chang YH, Liu HW. Robotic single-site supracervical hysterectomy with manual morcellation: Preliminary experience. World J Clin Cases 2017; 5(5): 172-177 [PMID: 28560234 DOI: 10.12998/wjcc.v5.i5.172]
Corresponding Author of This Article
Dah-Ching Ding, MD, PhD, Department of Obstetrics and Gynecology, Buddhist Tzu-Chi General Hospital, Tzu Chi University, 707, Chung-Yang Rd., Sec. 3, Hualien 970, Taiwan. dah1003@yahoo.com.tw
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 16, 2017; 5(5): 172-177 Published online May 16, 2017. doi: 10.12998/wjcc.v5.i5.172
Robotic single-site supracervical hysterectomy with manual morcellation: Preliminary experience
Dah-Ching Ding, Mun-Kun Hong, Tang-Yuan Chu, Yu-Hsun Chang, Hwan-Wun Liu
Dah-Ching Ding, Mun-Kun Hong, Tang-Yuan Chu, Department of Obstetrics and Gynecology, Buddhist Tzu-Chi General Hospital, Tzu Chi University, Hualien 970, Taiwan
Yu-Hsun Chang, Department of Pediatrics, Buddhist Tzu-Chi General Hospital, Tzu Chi University, Hualien 970, Taiwan
Hwan-Wun Liu, Department of Occupational Medicine, Buddhist Tzu-Chi General Hospital, Tzu Chi University, Hualien 970, Taiwan
Author contributions: Ding DC design the study, acquisition and interpretation of the data, draft manuscript; Hong MK, Chu TY, Chang YH and Liu HW revised the article critically for important intellectual content.
Institutional review board statement: This study was reviewed and approved by the Research Ethics Committee of Buddhist Tzu Chi General Hospital.
Informed consent statement: This study is a retrospective chart review and approved by IRB. Therefore, no informed consent was needed.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dah-Ching Ding, MD, PhD, Department of Obstetrics and Gynecology, Buddhist Tzu-Chi General Hospital, Tzu Chi University, 707, Chung-Yang Rd., Sec. 3, Hualien 970, Taiwan. dah1003@yahoo.com.tw
Telephone: +886-3-8561825 Fax: +886-3-8577161
Received: September 30, 2016 Peer-review started: October 10, 2016 First decision: December 1, 2016 Revised: December 8, 2016 Accepted: February 28, 2017 Article in press: March 2, 2017 Published online: May 16, 2017 Processing time: 226 Days and 18.8 Hours
Abstract
AIM
To evaluate the feasibility, safety and peri- and postoperative outcomes of robotic single-site supracervical hysterectomy (RSSSH) for benign gynecologic disease.
METHODS
We report 3 patients who received RSSSH for adenomyosis of the uterus from November 2015 to April 2016. We evaluated the feasibility, safety and outcomes among these patients.
RESULTS
The mean surgical time was 244 min and the estimated blood loss was 216 mL, with no blood transfusion necessitated. The docking time was shortened gradually from 30 to 10 min. We spent 148 min on console operation. Manual morcellation time was also short, ranging from 5 to 10 min. The mean hospital stay was 5 d. Lower VAS pain score was also noted. There is no complication during or after surgery.
CONCLUSION
RSSSH is feasible and safe, incurs less postoperative pain and gives good cosmetic appearance. The technique of in-bag, manual morcellation can avoid tumor dissemination.
Core tip: Robotic single-site surgery (RSS) is feasible and safe in performing supracervical hysterectomy for benign gynecologic disease. Less pain and cosmetic value are important advantages of RSS. Manual morcellation can be done through single port setting.
