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Using the "Summa Set-up" in robotic assisted gynecologic surgery.
Thomas J Mendise1, Edward M Ferris1, Michele L McCarroll2,3
1Department of Obstetrics and Gynecology, Summa Health System, 525 East Market Street, Akron, OH, 44304, USA.
Journal of Robotic Surgery
|March 23, 2016
Summary
A new robotic surgery setup, the Summa Set-up (SS), enhances gynecologic (GYN) procedures. This novel approach improves surgeon mobility and efficiency during complex GYN surgeries.
Area of Science:
- Robotic Surgery
- Minimally Invasive Gynecology
Background:
- Conventional robotic systems can hinder complex gynecologic (GYN) procedures.
- Limited surgeon maneuverability and efficiency are common challenges.
Purpose of the Study:
- To introduce a novel robotic setup, the Summa Set-up (SS), for challenging GYN procedures.
- To enhance surgeon mobility and efficiency in robotic-assisted GYN surgery.
Main Methods:
- Utilized a parallel-docking approach with the da Vinci Surgical System.
- Implemented a configuration with three robotic arms and two patient-side assist ports.
- The SS uses 4 active ports (2 assist, 2 robotic) versus the traditional 4 ports (1 assist, 3 robotic).
Main Results:
- The Summa Set-up (SS) allows the patient-side assistant to be positioned at the head of the bed.
- This enables simultaneous uterine retraction and surgical dissection assistance.
- The SS configuration offers increased mobility and efficiency.
Conclusions:
- The Summa Set-up (SS) presents a viable alternative for robotic-assisted GYN surgery.
- It is particularly beneficial for surgeons in teaching hospitals performing complex GYN procedures.
- The SS configuration can overcome limitations of traditional setups, improving surgical outcomes.
