Robotic radical hysterectomy

Abstract

Since mid-2008, we have started to perform Laparoscopic Radical Hysterectomy with Robotic Assistance (Da Vinci). The advantages of the Da Vinci Robots over conventional laparoscopic radical hysterectomy include (1) better vision: with a 3 D camera; with easy manipulation of the video camera which can be put deep into POD and still maintaining a good angle of vision; with full control by the operator; without tremor despite long hours of operation leading to fatigue of assistant holding onto the camera and better control on the intensity of the light. (2) better instruments: with the 270 degree wrist like movement of the instruments that can manipulate or operate on tissues deep in the pelvis at angles normally difficult to reach with conventional straight or slightly curved but fix instruments; the third arm for holding allows for firm and stable grape and also at position as desired by the operator; easier and more precise in dissection and suturing. (3) better ergonomics for operator and assistants: everybody can sit down with less stress on legs and backs; easier to assist with good view and no need to hold the camera. The video will try to demonstrate these advantages by showing different steps in the laparoscopic radical hysterectomy using the Da Vinci.