Abstract
Three patients requiring gynecological surgery had uterine manipulation using a VCare® controlled by a ViKY® at the same time as having a ViKY® robotic arm controlling the laparoscope. The setup time for each varied from 6–9 min for the uterine manipulator and 3–5 min for the laparoscope holder. In all cases (one endometriosis and two dermoid cysts) the operative field was good. Two patients were discharged within 24 h of surgery. One patient required an extra day in hospital after she went into acute urinary retention once the catheter was removed. This work demonstrated that assistant-less solo gynecological surgery is feasible using two ViKY robotic arms for both uterine manipulation and laparoscope holding.
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References
Greenberg JA (2009) VCare uterine manipulator/elevator–Winter 2009 product review. Rev Obstet Gynecol 2:69–70
Wagner AA, Varkarakis IM, Link RE, Sullivan W, Su LM (2006) Comparison of surgical performance during laparoscopic radical prostatectomy of two robotic camera holders, EndoAssist and AESOP: a pilot study. Urol 68:70–74
Vara-Thorbeck C, Muñoz VF, Toscano R, Gomez J, Fernández J, Felices M, Garcia-Cerezo A (2001) A new robotic endoscope manipulator. A preliminary trial to evaluate the performance of a voice-operated industrial robot and a human assistant in several simulated and real endoscopic operations. Surg Endosc 15:924–927
Tanoue KY, Yasunaga T, Kobayashi E, Miyamoto S, Sakuma I, Dohi T, Konishi S, Yamaguchi S, Kinjo N, Takenaka K, Maehara Y, Hasizume M (2006) Laparoscopic cholecystectomy using a newly developed laparoscope manipulator for 10 patients with cholelithiasis. Surg Endosc 20:753–756
Mettler L, Ibrahim M, Jonat W (1998) One year of experience working with the aid of a robotic assistant (the voice-controlled optic holder AESOP) in gynaecological endoscopic surgery. Hum Reprod 13:2748–2750
Gilbert J (2009) The EndoAssist (TM) robotic camera holder as an aid to the introduction of laparoscopic colorectal surgery. Ann R Coll Surg Engl 91:389–393
Aiono S, Gilbert JM, Soin B, Finlay PA, Gordan A (2002) Controlled trial of the introduction of a robotic camera assistant (EndoAssist) for laparoscopic cholecystectomy. Surg Endosc 16:1267–1270
Gumbs AA, Crovari F, Vidal C, Henri P, Gayet B (2007) Modified robotic lightweight endoscope (ViKY) validation in vivo in a porcine model. Surg Innov 14:261–264
Akrivos N, Barton-Smith P (2013) A pilot study of robotic uterine and vaginal vault manipulation: the ViKY Uterine PositionerTM. J Robotic Surg 7(4):371–375
Proske JM, Dagher I, Franco D (2004) Comparative study of human and robotic camera control in laparoscopic biliary and colon surgery. J Laparoendosc Adv Surg Tech 14:345–348
Dunlap KD, Wanzer L (1998) Is the robotic arm a cost-effective surgical tool? AORN J 68:265–272
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Thomas Ind and Manish Maheshwari declare that they have no conflict of interest.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients included in the study.
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Maheshwari, M., Ind, T. Concurrent use of a robotic uterine manipulator and a robotic laparoscope holder to achieve assistant-less solo laparoscopy: the double ViKY. J Robotic Surg 9, 211–213 (2015). https://doi.org/10.1007/s11701-015-0518-z
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DOI: https://doi.org/10.1007/s11701-015-0518-z