| Overcoming technical challenges with robotic surgery in gynecologic oncology. | |
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MedLine Citation:
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PMID: 20033731 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The majority of data published on robotic surgery in gynecologic oncology has focused on patient outcomes and surgical data. We have found that technical challenges due to the complexity of the robotic technology create a separate set of issues, adding time and difficulty to the actual surgical procedure. This study focuses on these technical problems and identifies pitfalls and potential solutions in robotics. METHODS: All patients who underwent robotic surgery for gynecologic oncology indications from August 2006 through July 2008 were eligible for inclusion in the study. Data collected prospectively included demographics, surgical and clinicopathologic data, and technical problems with the robotic equipment. RESULTS: One hundred thirty-seven patients underwent robotic surgery during the study period. A total of 11 cases (8.02%) were associated with problems with robotic technology: 2/11 (18.2%) involved malfunction of robotic arms, 2/11 (18.2%) involved light or camera cords, and the remainder included a variety of problems, including malfunction of Maylard bipolar instrument [1/11 (9.1%)], power failure requiring reboot of robot [1/11 (9.1%)], port problems [2/11 (18.2%)], and 3/1 (27.3%) had miscellaneous problems. An estimated average of 25 min was added to each of these 11 cases in order to solve robot-related technological problems. No cases required conversion to laparotomy. All problems were solved by the robotic surgeon with the assistance of robotic surgery staff. CONCLUSIONS: Surgeons performing robotic surgery must become familiar with troubleshooting robotic technology. Several issues related to technical problems may arise, delaying progression of the case, and potential solutions were identified. As this technology is implemented, robotic surgeons must be trained to solve problems related to the robotic technology and associated equipment. Failure to do so may add time and technical difficulty to robotic cases. |
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Authors:
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Michael A Finan; Rodney P Rocconi |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-12-24 |
Journal Detail:
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Title: Surgical endoscopy Volume: 24 ISSN: 1432-2218 ISO Abbreviation: Surg Endosc Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-14 Completed Date: 2010-10-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: Germany |
Other Details:
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Languages: eng Pagination: 1256-60 Citation Subset: IM |
Affiliation:
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Division of Gynecologic Oncology, Mitchell Cancer Institute, University of South Alabama, 1660 Springhill Avenue, Mobile, AL 36604-1405, USA. mfinan@usouthal.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Equipment Design Equipment Failure Analysis / methods* Female Genital Neoplasms, Female / surgery* Gynecologic Surgical Procedures / methods, trends* Humans Program Evaluation* Retrospective Studies Robotics / instrumentation* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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