Objective: The aim of this study is to report the feasibility and safety of robotic paraaortic lymphadenectomy (PAL) during multiquadrant surgery for gynecological malignancies with the new Da Vinci Xi system. Methods: Prospective study of Da Vinci Xi PAL in a series of 21 gynecological malignancies between October-March 2014-2015. Patients received PAL during surgery without repositioning the robot. Of the whole group: 4 patients received PAL for endometrial cancer; 8 for cervical cancer and 9 for ovarian cancer. Results: Operative time, Robotic rotation time, estimated blood loss and median number of removed lymph nodes were recorded. Median rotation time and median aortic time was 3 minutes (range: 2-4) and 69 minutes (range: 40-110) respectively. Median number of aortic nodes removed was 13 (range 7-21). Conversion rate was 19%, median length of hospital stay was 3 days. There were no mortalities. Conclusion: Robotic PAL without repositioning with the new Da Vinci Xi System results both safe and feasible. Further randomized trials are needed to determine whether the Da Vinci Xi System truly offers any advantages in term of oncological outcome or longterm results. © 2019, Partner-Graf srl, Prato.
Robotic aortic lymphadenectomy during multiquadrant surgery for gynecological cancers with the new “Da Vinci Xi” system
Sozzi, Giulio;
2019-01-01
Abstract
Objective: The aim of this study is to report the feasibility and safety of robotic paraaortic lymphadenectomy (PAL) during multiquadrant surgery for gynecological malignancies with the new Da Vinci Xi system. Methods: Prospective study of Da Vinci Xi PAL in a series of 21 gynecological malignancies between October-March 2014-2015. Patients received PAL during surgery without repositioning the robot. Of the whole group: 4 patients received PAL for endometrial cancer; 8 for cervical cancer and 9 for ovarian cancer. Results: Operative time, Robotic rotation time, estimated blood loss and median number of removed lymph nodes were recorded. Median rotation time and median aortic time was 3 minutes (range: 2-4) and 69 minutes (range: 40-110) respectively. Median number of aortic nodes removed was 13 (range 7-21). Conversion rate was 19%, median length of hospital stay was 3 days. There were no mortalities. Conclusion: Robotic PAL without repositioning with the new Da Vinci Xi System results both safe and feasible. Further randomized trials are needed to determine whether the Da Vinci Xi System truly offers any advantages in term of oncological outcome or longterm results. © 2019, Partner-Graf srl, Prato.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
