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Published on: February 7, 2025
Side-docking in robotic-assisted gynaecologic cancer surgery
Demetrius Leon Woods1, June Y Hou, Laura Riemers
1Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, 1300 Morris Park Avenue,Bronx, NY 10461, USA. demetrius.woods02@gmail.com
Summary
Side-docking (SD) robotic surgery may improve gynaecological procedures by facilitating larger specimen retrieval and potentially decreasing operative time compared to conventional centre-docking (CD). This alternative positioning offers a promising approach for complex surgeries.
Area of Science:
- Gynaecological robotic surgery
- Minimally invasive surgical techniques
Background:
- Conventional robotic-assisted gynaecological surgery typically uses a centre-docking (CD) configuration.
- Limited data exists on alternative robotic positioning methods.
Purpose of the Study:
- To evaluate the efficacy of a novel side-docking (SD) robotic positioning technique.
- To compare surgical outcomes between SD and CD approaches in gynaecological procedures.
Main Methods:
- A prospective study involving 12 patients undergoing robotic-assisted gynaecological procedures with SD positioning.
- Comparison of clinical parameters with a historical cohort of 12 patients using CD technique.
Main Results:
- Reduced specimen retrieval time for larger uteri in the SD group (p=0.03).
- Slightly lower total operative times observed in the SD group.
- No significant difference in overall specimen retrieval times between SD and CD groups.
Conclusions:
- Side-docking (SD) presents a viable alternative to centre-docking (CD) in robotic-assisted gynaecological surgery.
- SD positioning may enhance retrieval of larger specimens and potentially reduce operative time and costs.
