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Robotic appendectomy in gynaecological surgery: technique and pathological findings
- Source :
- The International Journal of Medical Robotics and Computer Assisted Surgery. 4:210-213
- Publication Year :
- 2008
- Publisher :
- Wiley, 2008.
-
Abstract
- Background We evaluated the feasibility, safety and pathological findings of incidental robotic appendectomy in patients undergoing robotic gynaecological surgery. Methods Retrospective analysis of 107 consecutive cases of robotic appendectomy done in conjunction with other robotic gynaecological procedures between May 2004 and January 2007. Results All appendectomies were performed robotically in conjunction with other robotic procedures. Mean time for appendectomy was 3.4 min. No perioperative complications related to appendectomy were encountered. Among 90 patients with no gynaecological malignancy, 57 patients reported chronic pelvic pain preoperatively and 21 (37%) of them had an abnormal appendiceal pathology as compared to only 5 (15%) of the 33 patients with no pelvic pain (OR. 3.2; 95% CI, 1.1–9.7, p = 0.032). Of seven patients with ovarian malignancy, three (42%) had appendicular metastasis. Conclusion Incidental robotic appendectomy can be performed safely without the need for switching to conventional laparoscopy. It should be considered in patients undergoing robotic pelvic surgery for pelvic pain and ovarian malignancy. Copyright © 2008 John Wiley & Sons, Ltd.
- Subjects :
- Adult
medicine.medical_specialty
Biophysics
Metastasis
Gynecologic Surgical Procedures
medicine
Appendectomy
Humans
In patient
Pathological
Pelvic surgery
business.industry
Pelvic pain
General surgery
technology, industry, and agriculture
Robotics
Perioperative
Middle Aged
Appendicitis
medicine.disease
Gynaecological surgery
Computer Science Applications
Surgery
body regions
Treatment Outcome
Surgery, Computer-Assisted
Gynecological malignancy
Female
Laparoscopy
medicine.symptom
business
human activities
Subjects
Details
- ISSN :
- 1478596X and 14785951
- Volume :
- 4
- Database :
- OpenAIRE
- Journal :
- The International Journal of Medical Robotics and Computer Assisted Surgery
- Accession number :
- edsair.doi.dedup.....436d040a0bd101f18df824007068ab50