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Preliminary experience with robot-assisted laparoscopic myomectomy.

Publication ,  Journal Article
Advincula, AP; Song, A; Burke, W; Reynolds, RK
Published in: J Am Assoc Gynecol Laparosc
November 2004

The following retrospective case series evaluated the technique and feasibility of integrating robot-assisted technology in the performance of a laparoscopic myomectomy in order to overcome the limitations of conventional laparoscopy. We attempted 35 robot-assisted laparoscopic myomectomies in a university hospital setting with a conversion rate of 8.6%. There were a total of 48 myomas removed in 31 patients with completed robot-assisted laparoscopy. The mean number of myomas removed/patient was 1.6 (range 1-5). The mean diameter of myomas removed was 7.9 +/- 3.5 cm (95% CI 6.63-9.13), with the majority greater than 5 cm. The mean myoma weight was 223.2 +/- 244.1 g (95% CI 135.8-310.6). Mean operating time was 230.8 +/- 83 minutes (95% CI 201.6-260). The average estimated blood loss was 169 +/- 198.7 mL (95% CI 99.1-238.4). One patient experienced cardiogenic shock from vasopressin, two developed postoperative infections, and one was found to have adenomatous adenomyosis instead of a leiomyoma. The median length of hospital stay was 1 day. Overall, robot-assisted laparoscopic myomectomy is a promising new technique that may overcome many of the surgical limitations of conventional laparoscopy.

Duke Scholars

Published In

J Am Assoc Gynecol Laparosc

DOI

ISSN

1074-3804

Publication Date

November 2004

Volume

11

Issue

4

Start / End Page

511 / 518

Location

United States

Related Subject Headings

  • Uterine Neoplasms
  • Treatment Outcome
  • Robotics
  • Retrospective Studies
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Leiomyoma
  • Laparoscopy
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Advincula, A. P., Song, A., Burke, W., & Reynolds, R. K. (2004). Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc, 11(4), 511–518. https://doi.org/10.1016/s1074-3804(05)60085-0
Advincula, Arnold P., Arleen Song, William Burke, and R Kevin Reynolds. “Preliminary experience with robot-assisted laparoscopic myomectomy.J Am Assoc Gynecol Laparosc 11, no. 4 (November 2004): 511–18. https://doi.org/10.1016/s1074-3804(05)60085-0.
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.
Advincula, Arnold P., et al. “Preliminary experience with robot-assisted laparoscopic myomectomy.J Am Assoc Gynecol Laparosc, vol. 11, no. 4, Nov. 2004, pp. 511–18. Pubmed, doi:10.1016/s1074-3804(05)60085-0.
Advincula AP, Song A, Burke W, Reynolds RK. Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 2004 Nov;11(4):511–518.

Published In

J Am Assoc Gynecol Laparosc

DOI

ISSN

1074-3804

Publication Date

November 2004

Volume

11

Issue

4

Start / End Page

511 / 518

Location

United States

Related Subject Headings

  • Uterine Neoplasms
  • Treatment Outcome
  • Robotics
  • Retrospective Studies
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Leiomyoma
  • Laparoscopy
  • Humans
  • Female