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Use of the vessel sealer in paraaortic lymphadenectomy in the robotic assisted approach in endometrial cancer
M. Bizoń, M. Olszewski, A. Grabowska, J. Siudek, K. Mawlichanów, R. Pilka
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2011
Free Medical Journals
od 2011
Nature Open Access
od 2011-12-01
PubMed Central
od 2011
Europe PubMed Central
od 2011
ProQuest Central
od 2011-01-01
Open Access Digital Library
od 2011-01-01
Open Access Digital Library
od 2011-01-01
Health & Medicine (ProQuest)
od 2011-01-01
ROAD: Directory of Open Access Scholarly Resources
od 2011
Springer Nature OA/Free Journals
od 2011-12-01
- MeSH
- délka operace MeSH
- dospělí MeSH
- krvácení při operaci prevence a kontrola MeSH
- lidé středního věku MeSH
- lidé MeSH
- lymfadenektomie * metody MeSH
- nádory endometria * chirurgie patologie MeSH
- roboticky asistované výkony * metody MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Minimally invasive surgery is the method of choice in endometrial cancer. Experience in procedures assisted by a robotic system is growing rapidly. One of the new bipolar ones is a Vessel Sealer, with sealing and cutting function. The aim of the study was to compare robotic surgery assisted with the da Vinci X system with use of the Vessel Sealer or without it. The study included 25 patients with high-risk endometrial cancer after completed pelvic and paraaortic lymphadenectomy with mean age 60.07 ± 10.67 (range 34.69-83.23) years divided into two groups: one with use of the Vessel Sealer; the second one only with monopolar scissors and subdivided by one-site versus dual docking. Duration of the operation was significantly associated with previous surgery (p < 0.005). Use of the Vessel Sealer was associated with lower blood loss during surgery (p < 0.05). The number of removal pelvic lymph nodes was higher in case of Vessel Sealer with no relation to BMI. Experience in robotic surgery allowed for shortened operation time and led to better outcomes. The Vessel Sealer used in robotic surgery appears to reduce blood loss during surgery and operation time, especially in the case of previous surgery, however, it increases costs of the procedure.
Andrzej Frycz Modrzewski Krakow University Cracow Poland
Department of Obstetrics and Gynecology Faculty Hospital Olomouc Olomouc Czech Republic
LUX MED Oncology Hospital św Wincentego 103 Warsaw Poland
Neohospital Kostrzewskiego 47 Cracow Poland
Politechnika Krakowska Al Jana Pawła 2 37 Cracow 31 864 Poland
Citace poskytuje Crossref.org
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