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Single assistant versus dual assistant robotic surgery for robot-assisted laparoscopic hysterectomy using da Vinci Xi
Hiroe Ito1, Satoshi Yanagida2, Yoichiro Toyonaga2
1Department of Obstetrics and Gynecology, Tokyo Medical University Hospital, Tokyo, Japan.
Background:
To verify the usefulness of single assistant robotic surgery (SA-RS) using da Vinci Xi or X performed for total hysterectomy.
Methods:
The SA-RS group (S-group) includes surgeries in which the surgeon performed all surgical operations other than that of the uterine manipulator, while the dual assistant robotic surgery group (D-group) includes surgeries performed by the surgeon with two assistants. In S-group, the forceps and camera were replaced during surgery in cases of a large uterus with limited range of motion of the instrument. A comparative study of patient background, intraoperative and postoperative results and surgery-related cost was performed between the two groups.
Results:
No significant differences were observed between the two groups. On the contrary, S-group showed a significant reduction in preparation time and wound closure time, and a savings of $768.
Conclusion:
SA-RS for total hysterectomy was possible, which is excellent in terms of cost, esthetics, and manpower.
