尖端教育

A successful robotic hysterectomy in a patient with multiple previous pelvic surgeries and failed laparotomy

A successful robotic hysterectomy in a patient with multiple previous pelvic surgeries and failed laparotomy. 2016 AAGL video presentation by Dr. I-Lin Su.
Patients with multiple surgery often face with unavoidable laparotomy. This case demonstrate capability of robotic surgery to tackle difficult case.

Robotic assisted uterine artery ligation: a feasible method for huge or unusual myoma

This video had been first published on 2015 AAGL in Las Vegas.
Edited by Dr. Cheng Wei Wang.
Bleeding is always a problem in minimal invasive myomectomy.
Laparoscopic Uterine artery ligation before myomectomy was first introduced by Dr. Liu wei min in year 2000. Now dr. Liu performed this same technique robotically. So this video is intend to demonstrate : first: efficient approach to electrocauterize uterine artery in 3 to 5 minutes unilaterally. Second: to minimized blood loss during myomectomy.

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Robotic hysterectomy in women with a history of severe previous pelvic surgeries and extremely severe adhesion

Robotic hysterectomy in women with a history of severe previous pelvic surgeries and extremely severe adhesion.

Pelvic adhesion is regarded as contraindication for laparoscopic surgery.
Here we present a case with history of previous seven abdominal surgery who under went robotic hysterectomy and left slapping-oophorectomy.
By robotic instruments, we were able to demonstrate surgical techniquies to effectively expose and dissect adhesions.

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Robotic adhesiolysis with pelvic adhesion

Pelvic adhesion
This women is presented with severe pelvic adhesion.
In the video, large bowel is severely adhered to uterus.
Here we present surgical techniques of adhesiolysis using robotic assisted surgery.

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Management of ovarian cancer in 14th gestational week of pregnancy by robotic approach with preservation of the fetus.

利用達文西微創手術成功治療受孕14周發現卵巢癌的病人,胎兒並於37周時順產,且在18個月的觀察中,病人並無癌症復發的現象。Read More…

Comparison of robotic surgery and laparoscopy to perform total hysterectomy with pelvic adhesions or large uterus.

利用達文西微創手術系統處理合併巨大子宮及嚴重沾黏的子宮全切除手術,比使用腹腔鏡手術所需的時間較短、出血量較少且疼痛指數較低。
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Comparison of robotic approach, laparoscopic approach, and laparotomy in treating epithelial ovarian cancer

執行達文西微創手術與腹腔鏡手術治療卵巢癌,會比傳統開腹手術其手術時間短、出血量少且術後恢復時間與住院天數明顯較短。
再者,接受達文西手術的病人,其術後疼痛指數明顯低於接受腹腔鏡手術和傳統開腹手術的病人。
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Comparing robotic surgery with laparoscopy and laparotomy for endometrial cancer management: A cohort study.

利用達文西微創手術系統治療子宮內膜癌會比腹腔鏡和傳統開腹手術其手術時間短、出血量少且術後恢復時間與住院天數明顯較短。Conclusion:
Compared to conventional approaches, robotic surgery showed favorable short-term outcomes with comparable survival. It is suggested that robotic surgery is a feasible tool for endometrial cancer management.
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Comparing robotic surgery with conventional laparoscopy and laparotomy for cervical cancer management

利用達文西微創手術系統治療子宮頸癌會比腹腔鏡和傳統開腹手術其手術時間短出血量少且低輸血率。此外,術後恢復時間與住院天數明顯較短。

The data suggested that robotic surgery is a feasible and potentially optimal option for the treatment of stage IA to IIB cervical cancer with favorable short-term surgical outcomes.
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