Making the transition from standard gynecologic laparoscopy to robotic laparoscopy

JSLS. 2004 Oct-Dec;8(4):326-8.

Abstract

Objectives: To determine the feasibility of using a simple procedure, a bilateral tubal ligation, as a transition procedure when adopting robotic laparoscopy for gynecologic surgery.

Method: To obtain robotic credentialing and gain experience with the robotic system, the surgeons first went through robotic training, then 4 women desiring permanent sterilization had robotically assisted laparoscopic bilateral tubal ligations performed, using the Parkland method.

Results: Total operating room time varied from 1 hour 25 minutes to 2 hours 31 minutes. Improvement in operating time for each surgeon was noted with each successive case. Best times in robotic cases were similar to those of standard laparoscopy.

Conclusion: Robotically assisted laparoscopic tubal ligation using the Parkland method is a satisfactory procedure to provide transition for gynecologic surgeons and operating room personnel to gynecologic robotic surgery.

MeSH terms

  • Adult
  • Clinical Competence
  • Feasibility Studies
  • Female
  • Humans
  • Laparoscopy
  • Robotics / methods*
  • Sterilization, Tubal / instrumentation*
  • Sterilization, Tubal / methods
  • Time Factors