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Tytuł:
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Adapting surgical skills from robotic-assisted radical hysterectomy in cervical cancer to uterine transplantation: a look to an optimistic future!
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Autorzy:
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Carbonnel M; Department of Obstetrics and Gynecology, Foch Hospital, Suresnes, France. .
Dahm-Kähler P; Department of Obstetrics and Gynecology, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
Revaux A; Department of Obstetrics and Gynecology, Foch Hospital, Suresnes, France.
Brännström M; Department of Obstetrics and Gynecology, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
Ayoubi JM; Department of Obstetrics and Gynecology, Foch Hospital, Suresnes, France.
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Źródło:
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Journal of robotic surgery [J Robot Surg] 2020 Dec; Vol. 14 (6), pp. 841-847. Date of Electronic Publication: 2020 Feb 22.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : Springer
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MeSH Terms:
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Living Donors*
Hysterectomy/*methods
Hysterectomy, Vaginal/*methods
Laparotomy/*methods
Robotic Surgical Procedures/*methods
Tissue and Organ Harvesting/*methods
Uterine Cervical Neoplasms/*surgery
Uterus/*transplantation
Aged ; Aged, 80 and over ; Female ; Humans ; Hysterectomy/trends ; Hysterectomy, Vaginal/trends ; Laparotomy/trends ; Middle Aged ; Robotic Surgical Procedures/trends ; Tissue and Organ Harvesting/trends ; Uterus/surgery
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Contributed Indexing:
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Keywords: Minimal invasive surgery; Radical hysterectomy; Robotic-assisted colpohysterectomy; Uterus transplantation
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Entry Date(s):
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Date Created: 20200224 Date Completed: 20201130 Latest Revision: 20201130
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Update Code:
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20240105
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DOI:
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10.1007/s11701-020-01058-7
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PMID:
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32088836
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Uterus transplantation (UTx) is the first treatment for absolute uterine factor infertility. The first birth after human UTx in Sweden occurred in 2014 and very favourable results of the Swedish trial performed with laparotomy raised great hope. Several teams are leading their own trial among the world, but UTx is still in its experimental phase. Surgical intervention needs to be optimized. The long surgical duration (> 10 h), vascular dissection and risks of ureteral damages for live donors are major drawbacks. Minimal invasive surgery by means of robotic-assisted laparoscopy for live donors could become an improved option. Our collaborative Swedish-French team has initiated efforts to introduce minimal invasive surgery in one trial in Sweden and one in France. UTx is somewhat similar to a radical colpohysterectomy for arterial dissection. We describe a robotic-assisted radical colpohysterectomy and its transposition to uterus retrieval in a living donor. We report our experience on nine cases that were completed prior to our French UTx robot-assisted trial.
