Solo surgery--early results of robot-assisted three-dimensional laparoscopic hysterectomy.
OBJECTIVE
Report of our initial experience in laparoscopic hysterectomy by a solo surgeon using a robotic camera system with three-dimensional visualisation.


MATERIAL AND METHODS
This novel device (Einstein Vision®, B. Braun, Aesculap AG, Tuttlingen, Germany) (EV) was used for laparoscopic supracervical hysterectomy (LASH) performed by one surgeon. Demographic data, clinical and surgical parameters were evaluated. Our first 22 cases, performed between June and November 2012, were compared with a cohort of 22 age-matched controls who underwent two-dimensional LASH performed by the same surgeon with a second surgeon assisting.


RESULTS
Compared to standard two-dimensional laparoscopic hysterectomy, there were no significant differences regarding duration of surgery, hospital stay, blood loss or incidence of complications. The number of trocars used was significantly higher in the control group (p <.0001). All hysterectomies in the treatment group were performed without assistance of a second physician.


CONCLUSION
Robot-assisted solo surgery laparoscopic hysterectomy is a feasible and safe procedure. Duration of surgery, hospital stay, blood loss, and complication rates are comparable to a conventional laparoscopic hysterectomy.
['Tuschy|Benjamin|B|', 'Berlit|Sebastian|S|', 'Brade|Joachim|J|', 'Sütterlin|Marc|M|', 'Hornemann|Amadeus|A|']
D000328:Adult D016063:Blood Loss, Surgical D005240:Feasibility Studies D005260:Female D006801:Humans D007044:Hysterectomy D015994:Incidence D010535:Laparoscopy D007902:Length of Stay D008875:Middle Aged D061646:Operative Time D011183:Postoperative Complications D011446:Prospective Studies D012189:Retrospective Studies D012371:Robotics
Robot-assisted three-dimensional hysterectomy solo surgery laparoscopy