The Strategy of Robot-assisted Hysterectomy in Patients with Morbid Obesity.

IF 1.4 Q3 OBSTETRICS & GYNECOLOGY

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-01-08 eCollection Date: 2025-01-01 DOI:10.4103/gmit.gmit_147_23

Junji Mitsushita, Chiaki Banzai, Akina Matsumoto, Emi Motegi, Katsuya Imai, Shuhei Watanabe, Tomomi Murata, Masayuki Soda

{"title":"The Strategy of Robot-assisted Hysterectomy in Patients with Morbid Obesity.","authors":"Junji Mitsushita, Chiaki Banzai, Akina Matsumoto, Emi Motegi, Katsuya Imai, Shuhei Watanabe, Tomomi Murata, Masayuki Soda","doi":"10.4103/gmit.gmit_147_23","DOIUrl":null,"url":null,"abstract":"Robotic hysterectomy has emerged as a superior surgical approach for patients with obesity, providing significant benefits including reduced incidence of myocardial infarction, peripheral nerve injury, wound infections, and urinary tract infections. However, these unique considerations require careful attention when managing such cases. Therefore, this study aimed to propose several key strategies for achieving optimal outcomes, including maintaining a mild Trendelenburg position (12°), ensuring the patient's secure positioning, avoiding the lithotomy position, considering a slightly higher pneumoperitoneum insufflation pressure (12 mmHg), and using a 30° endoscope for improved visualization rather than a 0° endoscope. We present three cases of stage IA atypical endometrial hyperplasia and carcinoma. All three patients underwent robotic hysterectomy and bilateral salpingo-oophorectomy, with body mass indices of 53.3, 43.8, and 43.7 kg/m2.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"81-84"},"PeriodicalIF":1.4000,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936405/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gynecology and Minimally Invasive Therapy-GMIT","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/gmit.gmit_147_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Robotic hysterectomy has emerged as a superior surgical approach for patients with obesity, providing significant benefits including reduced incidence of myocardial infarction, peripheral nerve injury, wound infections, and urinary tract infections. However, these unique considerations require careful attention when managing such cases. Therefore, this study aimed to propose several key strategies for achieving optimal outcomes, including maintaining a mild Trendelenburg position (12°), ensuring the patient's secure positioning, avoiding the lithotomy position, considering a slightly higher pneumoperitoneum insufflation pressure (12 mmHg), and using a 30° endoscope for improved visualization rather than a 0° endoscope. We present three cases of stage IA atypical endometrial hyperplasia and carcinoma. All three patients underwent robotic hysterectomy and bilateral salpingo-oophorectomy, with body mass indices of 53.3, 43.8, and 43.7 kg/m².

查看原文本刊更多论文

病态肥胖患者的机器人辅助子宫切除术策略。

机器人子宫切除术已经成为肥胖患者的一种优越的手术方法，它提供了显著的好处，包括降低心肌梗死、周围神经损伤、伤口感染和尿路感染的发生率。然而，在处理此类情况时，需要仔细注意这些独特的考虑因素。因此，本研究旨在提出实现最佳结果的几个关键策略，包括保持温和的Trendelenburg体位（12°），确保患者的安全体位，避免取石体位，考虑稍高的气腹充气压力（12 mmHg），以及使用30°内窥镜来改善可视化，而不是0°内窥镜。我们报告三例IA期不典型子宫内膜增生及癌。3例患者均行机器人子宫切除术和双侧输卵管卵巢切除术，体重指数分别为53.3、43.8和43.7 kg/m2。

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