Making the Transition From Standard Gynecologic Laparoscopy to Robotic Laparoscopy

Author： Ferguson Jennifer L. Beste Todd M. Nelson Keith H. Daucher James A.

Publisher： Society of Laparoendoscopic Surgeons

ISSN： 1086-8089

Source： JSLS, Journal of the Society of Laparoendoscopic Surgeons, Vol.8, Iss.4, 2004-10, pp. : 326-328

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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.