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Parallel side-docking technique for gynecologic procedures utilizing the da Vinci robot.

Suzanne Silverman1, Laurence Orbuch2, Iris Orbuch2

  • 1Department of Obstetrics, Gynecology and Reproductive Sciences, Mount Sinai School of Medicine, New York, NY, USA. Suzanne.silverman@mountsinai.org.

Journal of Robotic Surgery
|September 18, 2016
PubMed
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This study introduces a modified robotic surgery technique for gynecologic procedures. Parallel side-docking of the da Vinci surgical system allows perineal access without increasing setup time or limiting movement.

Area of Science:

  • Minimally invasive gynecologic surgery
  • Robotic-assisted surgical procedures
  • Surgical technique innovation

Background:

  • Minimally invasive gynecologic surgery is increasingly preferred.
  • The da Vinci surgical system offers advantages for minimally invasive procedures.
  • Standard da Vinci system placement can obstruct perineal access.

Purpose of the Study:

  • To propose a modified docking procedure for the da Vinci surgical system.
  • To facilitate perineal access during minimally invasive gynecologic surgery.
  • To evaluate the feasibility of parallel side-docking.

Main Methods:

  • Modified the standard da Vinci surgical system docking procedure.
  • Aligned the robotic system parallel to the operating room table.
Keywords:
DockingParallel-sideRobot-assisted surgeryda Vinci robot

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  • Assessed impact on perineal access, docking time, and range of motion.

    • Main Results:

    • Parallel side-docking successfully allowed access to the perineum.
    • The modified technique did not compromise docking time.
    • Range of motion for the surgical instruments was maintained.

    Conclusions:

    • Parallel side-docking is a viable modification for da Vinci system use in gynecologic surgery.
    • This technique overcomes the limitations of standard placement for perineal access.
    • It enhances the utility of robotic surgery in gynecologic procedures.