当院における保険収載後の婦人科ロボット支援下手術の導入と工夫

抄録

Objective: Robot-assisted surgery in the field of gynecology has been gaining popularity in recent years, particularly since 2018, when robot-assisted hysterectomy for uterine fibroids and uterine endometrial cancers was approved for insurance application in Japan. We reported results of the introduction of robot-assisted gynecological surgery in our institution.

Methods: We performed robotic-assisted surgery in 28 women with uterine fibroids or uterine endometrial cancers between February 2019 and April 2020, and perioperative characteristics (age, BMI, blood loss, required time for roll-in, docking and console, total operation time, and uterine weight) were investigated.

Results: Sixteen uterine fibroids and 12 uterine endometrial cancer cases were found. The average age was 47.0±3.9, 52.1±10.5 years, BMI was 24.9±5.2, 27.5±8.2, blood loss was 64.4±94.6, 10.8±20.2 g, total operation time was 154.5±32.5, and 168.7±66.5 minutes in uterine fibroids group and endometrioid cancer, respectively.

Conclusions: Robot-assisted gynecological surgery was safely performed at our institution. It is essential to accumulate more cases to evaluate the efficacy of robot-assisted gynecological surgery in the future.