Robotic Transperitoneal Infrarenal Para-Aortic Lymphadenectomy With Double Docking: Technique, Learning Curve, and Perioperative Outcomes.
作者： Jordi Ponce , Marc Barahona , Maria Jesus Pla , Jordi Rovira , Amparo Garcia-Tejedor
DOI: 10.1016/J.JMIG.2016.02.005
关键词:
摘要: Para-aortic lymphadenectomy (PAL) is a challenging procedure performed by minimally invasive surgery in very few centers, owing to its intrinsic technical complexity. We describe and assess the feasibility learning curve of robotic double-docking transperitoneal infrarenal PAL combined with oncological pelvic surgery. Fifty patients who underwent this using Da Vinci S surgical system between March 2010 May 2013 were included. The mean operating time for was 76 minutes (range, 32-150 minutes), number lymph nodes per patient 11.8 1-44). There no conversions laparotomy or laparoscopy. length hospital stay 2 days 1-25 days). Statistically significant decreases noted table rotation (17 ± 6.8 minutes vs 13 ± 3.6 minutes; p = .02) (85.4 ± 25.8 minutes 69.8 ± 24.6 minutes; p = .04) when comparing first 20 last 30 patients. similar technique feasible, minimal morbidity short curve.
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