Robot-Assisted Total Hysterectomy of Extremely Unusual Pelvic Anatomy : A Case Report and Literature Review
[ABSTRACT] We report a case of robot-assisted total hysterectomy in a patient with extremely rare pelvic anatomy. Robot-assisted total laparoscopic hysterectomy was performed for lobular endocervical glandular hyperplasia on the left side of the uterus. The sigmoid colon was present between the two...
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Veröffentlicht in: | YONAGO ACTA MEDICA 2022, Vol.65 (4), p.315-319, Article 2022.11.003 |
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creator | Nagata, Hiroki Komatsu, Hiroaki Nakaso, Takaya Kudoh, Akiko Azuma, Yukihiro Taniguchi, Fuminori |
description | [ABSTRACT] We report a case of robot-assisted total hysterectomy in a patient with extremely rare pelvic anatomy. Robot-assisted total laparoscopic hysterectomy was performed for lobular endocervical glandular hyperplasia on the left side of the uterus. The sigmoid colon was present between the two uterine corpora of a uterine didelphys and was attached to the bladder via the mesentery and fat. During surgery, the surgeon left the console and confirmed the magnetic resonance images. The surgery was then completed safely after the surgeon understood the anatomy. The postoperative condition was good, and the patient was discharged on postoperative day 5. Robot-assisted surgery has various advantages, including a good field of view, accuracy of instrument movement, and ease of viewing information in the medical record by pausing the operation. Robot assisted surgery improves not only safety and operational precision but also intraoperative convenience. Further studies are needed regarding the specific anatomy seen in this case. |
doi_str_mv | 10.33160/yam.2022.11.003 |
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Robot-assisted total laparoscopic hysterectomy was performed for lobular endocervical glandular hyperplasia on the left side of the uterus. The sigmoid colon was present between the two uterine corpora of a uterine didelphys and was attached to the bladder via the mesentery and fat. During surgery, the surgeon left the console and confirmed the magnetic resonance images. The surgery was then completed safely after the surgeon understood the anatomy. The postoperative condition was good, and the patient was discharged on postoperative day 5. Robot-assisted surgery has various advantages, including a good field of view, accuracy of instrument movement, and ease of viewing information in the medical record by pausing the operation. Robot assisted surgery improves not only safety and operational precision but also intraoperative convenience. Further studies are needed regarding the specific anatomy seen in this case.</description><identifier>ISSN: 0513-5710</identifier><identifier>ISSN: 1346-8049</identifier><identifier>EISSN: 1346-8049</identifier><identifier>DOI: 10.33160/yam.2022.11.003</identifier><identifier>PMID: 36474900</identifier><language>eng</language><publisher>Japan: Tottori University Medical Press</publisher><subject>Patient Report</subject><ispartof>YONAGO ACTA MEDICA, 2022, Vol.65 (4), p.315-319, Article 2022.11.003</ispartof><rights>2022 Tottori University Medical Press.</rights><rights>2022 Tottori University Medical Press 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c633t-4ae96eb0b61ef1c5e0b069d877f27ba09b0454727c195d7b2927ae851652eae03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691378/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691378/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,4025,27928,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36474900$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagata, Hiroki</creatorcontrib><creatorcontrib>Komatsu, Hiroaki</creatorcontrib><creatorcontrib>Nakaso, Takaya</creatorcontrib><creatorcontrib>Kudoh, Akiko</creatorcontrib><creatorcontrib>Azuma, Yukihiro</creatorcontrib><creatorcontrib>Taniguchi, Fuminori</creatorcontrib><creatorcontrib>School of Medicine</creatorcontrib><creatorcontrib>Faculty of Medicine</creatorcontrib><creatorcontrib>Department of Surgery</creatorcontrib><creatorcontrib>Division of Obstetrics and Gynecology</creatorcontrib><creatorcontrib>Tottori University</creatorcontrib><title>Robot-Assisted Total Hysterectomy of Extremely Unusual Pelvic Anatomy : A Case Report and Literature Review</title><title>YONAGO ACTA MEDICA</title><addtitle>Yonago Acta Med</addtitle><description>[ABSTRACT] We report a case of robot-assisted total hysterectomy in a patient with extremely rare pelvic anatomy. Robot-assisted total laparoscopic hysterectomy was performed for lobular endocervical glandular hyperplasia on the left side of the uterus. The sigmoid colon was present between the two uterine corpora of a uterine didelphys and was attached to the bladder via the mesentery and fat. During surgery, the surgeon left the console and confirmed the magnetic resonance images. The surgery was then completed safely after the surgeon understood the anatomy. The postoperative condition was good, and the patient was discharged on postoperative day 5. Robot-assisted surgery has various advantages, including a good field of view, accuracy of instrument movement, and ease of viewing information in the medical record by pausing the operation. Robot assisted surgery improves not only safety and operational precision but also intraoperative convenience. 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Robot-assisted total laparoscopic hysterectomy was performed for lobular endocervical glandular hyperplasia on the left side of the uterus. The sigmoid colon was present between the two uterine corpora of a uterine didelphys and was attached to the bladder via the mesentery and fat. During surgery, the surgeon left the console and confirmed the magnetic resonance images. The surgery was then completed safely after the surgeon understood the anatomy. The postoperative condition was good, and the patient was discharged on postoperative day 5. Robot-assisted surgery has various advantages, including a good field of view, accuracy of instrument movement, and ease of viewing information in the medical record by pausing the operation. Robot assisted surgery improves not only safety and operational precision but also intraoperative convenience. Further studies are needed regarding the specific anatomy seen in this case.</abstract><cop>Japan</cop><pub>Tottori University Medical Press</pub><pmid>36474900</pmid><doi>10.33160/yam.2022.11.003</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Patient Report |
title | Robot-Assisted Total Hysterectomy of Extremely Unusual Pelvic Anatomy : A Case Report and Literature Review |
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