Pioneering case: Robotic single port (SP) transvaginal NOTES (RSP-vNOTES) for hysterectomy in ten steps

Intelligent Surgery Pub Date : 2023-11-29 DOI:10.1016/j.isurg.2023.11.003

Xiaoming Guan, Daniel Lovell, Emily Sendukas

{"title":"Pioneering case: Robotic single port (SP) transvaginal NOTES (RSP-vNOTES) for hysterectomy in ten steps","authors":"Xiaoming Guan, Daniel Lovell, Emily Sendukas","doi":"10.1016/j.isurg.2023.11.003","DOIUrl":null,"url":null,"abstract":"<div><p>Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES) has become popular since its inception in 2012, offering advantages by combining vaginal surgery principles with laparoscopic instruments for procedures like hysterectomy and myomectomy. The da Vinci Xi robotic system for transvaginal NOTES has been used successfully in over 300 cases, including advanced surgeries like sacrocolpopexy and endometriosis procedures. The new da Vinci SP platform, designed for single-port surgery, was employed in the first transvaginal NOTES hysterectomy on November 11, 2023, at Baylor College of Medicine. The surgical steps and outcomes of the procedure are detailed in this case report, showcasing the feasibility and success of utilizing the da Vinci SP system for transvaginal NOTES. The patient was discharged on the same day with an unremarkable post-operative course, and pathology results revealed adenomyosis and endometriosis after the comprehensive surgery.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 1-6"},"PeriodicalIF":0.0000,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676623000261/pdfft?md5=4cfec9156f34d13fab39e86da86c0c1c&pid=1-s2.0-S2666676623000261-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Intelligent Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666676623000261","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES) has become popular since its inception in 2012, offering advantages by combining vaginal surgery principles with laparoscopic instruments for procedures like hysterectomy and myomectomy. The da Vinci Xi robotic system for transvaginal NOTES has been used successfully in over 300 cases, including advanced surgeries like sacrocolpopexy and endometriosis procedures. The new da Vinci SP platform, designed for single-port surgery, was employed in the first transvaginal NOTES hysterectomy on November 11, 2023, at Baylor College of Medicine. The surgical steps and outcomes of the procedure are detailed in this case report, showcasing the feasibility and success of utilizing the da Vinci SP system for transvaginal NOTES. The patient was discharged on the same day with an unremarkable post-operative course, and pathology results revealed adenomyosis and endometriosis after the comprehensive surgery.

查看原文本刊更多论文

开创性病例：机器人单孔（SP）经阴道 NOTES（RSP-vNOTES）子宫切除术的十个步骤

经阴道自然腔道内窥镜手术（NOTES）自2012年问世以来广受欢迎，它将阴道手术原理与腹腔镜器械相结合，为子宫切除术和子宫肌瘤切除术等手术提供了优势。用于经阴道NOTES的达芬奇Xi机器人系统已成功应用于300多个病例，包括骶尾部切除术和子宫内膜异位症手术等高级手术。2023年11月11日，贝勒医学院在首例经阴道NOTES子宫切除术中使用了专为单孔手术设计的新型达芬奇SP平台。本病例报告详细介绍了手术步骤和结果，展示了使用达芬奇SP系统进行经阴道NOTES手术的可行性和成功性。综合手术后，病理结果显示患者患有子宫腺肌症和子宫内膜异位症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Intelligent Surgery

自引率

0.00%

发文量