Robotically assisted laparoscopic microsurgical uterine horn XXXX .

@entity1707 @entity254 @entity1295
OBJECTIVE: To evaluate the feasibility, safety, and sterility issues with regard to the use of a robotic device to perform uterine horn @entity254 in a live porcine model. DESIGN: Prospective animal study. SETTING: Landrace-Yorkshire @entity1707 in a conventional laboratory setting. INTERVENTION(S): Six female @entity1707 underwent laparoscopic bipolar electrocoagulation of the distal uterine horns. Two weeks later, the uterine horns were reanastomosed laparoscopically with use of a robotic system for microsuturing. Necropsy was performed 4 weeks later to assess postoperative adhesions and @entity254 patency. MAIN OUTCOME MEASURE(S): Tubal patency; secondary measures were operative time, complications, and surgeon fatigue. RESULT(S): The mean (+/-SD) total operative time per animal was 170+/-34 minutes including setting up and dismantling the robotic arms. The robot functioned well with only minor technical problems. All @entity1707 survived both surgeries with no perioperative complications related to the use of the robot. Patency was confirmed after completing each @entity254 (12 anastomoses; 100% patency). Four weeks later, necropsy showed that eight anastomoses were still patent (67%). Only one @entity1707 had bilateral occlusion. @entity1295 was mild for each animal study. CONCLUSION(S): Robotic technology can be used safely in creating laparoscopic microsurgical anastomoses. The robot functioned properly in a sterile operating room environment. Adequate patency rates were achieved during the acute phase and at 4-week follow-up. Robotic technology has the potential to make laparoscopic microsuturing easier.
