Docking for robotic extraperitoneal para-aortic lymphadenectomy with Da Vinci Xi surgical system

Enrica Bentivegna; Meriem Koual; Huyên-Thu Nguyen-Xuan; Laurent Plait; Stéphanie Seidler; Guillaume Achen; Anne-Sophie Bats; Henri Azaïs

doi:10.1016/j.jogoh.2021.102131

Docking for robotic extraperitoneal para-aortic lymphadenectomy with Da Vinci Xi surgical system

J Gynecol Obstet Hum Reprod. 2021 Oct;50(8):102131. doi: 10.1016/j.jogoh.2021.102131. Epub 2021 Mar 26.

Authors

Enrica Bentivegna¹, Meriem Koual², Huyên-Thu Nguyen-Xuan¹, Laurent Plait¹, Stéphanie Seidler¹, Guillaume Achen³, Anne-Sophie Bats⁴, Henri Azaïs⁵

Affiliations

¹ AP-HP.CUP, Service de chirurgie cancérologique gynécologique et du sein, Hôpital Européen Georges-Pompidou, Paris, France.
² AP-HP.CUP, Service de chirurgie cancérologique gynécologique et du sein, Hôpital Européen Georges-Pompidou, Paris, France; Université de Paris, Faculté de médecine Paris Centre, Paris, France; INSERM UMR-S 1124, Université de Paris, Centre Universitaire des Saints-Pères, Paris, France.
³ AP-HP.CUP, Service de chirurgie cancérologique gynécologique et du sein, Hôpital Européen Georges-Pompidou, Paris, France; Université de Paris, Faculté de médecine Paris Centre, Paris, France.
⁴ AP-HP.CUP, Service de chirurgie cancérologique gynécologique et du sein, Hôpital Européen Georges-Pompidou, Paris, France; Université de Paris, Faculté de médecine Paris Centre, Paris, France; Centre de Recherche des Cordeliers, INSERM, CNRS, Sorbonne Université, USPC, Université Paris Descartes, Université Paris Diderot, Equipe labellisée Ligue Nationale contre le cancer, Paris, France.
⁵ AP-HP.CUP, Service de chirurgie cancérologique gynécologique et du sein, Hôpital Européen Georges-Pompidou, Paris, France. Electronic address: [email protected].

PMID: 33781970
DOI: 10.1016/j.jogoh.2021.102131

Abstract

Regarding extraperitoneal para-aortic lymphadenectomy, installation is key when performed with the assistance of the Da Vinci Xi robotic system. We developed a step-by-step guide, from patient installation to placement of the trocars to patient cart docking, to perform in the efficient and safest installation possible this procedure. The operation does not differ from standard laparoscopic extraperitoneal lymphadenectomy. The benefits of robotic surgery in this indication are comparable to those of the standard laparoscopic approach. Those benefits imply a precise knowledge of the management and installation of the da Vinci Xi robotic system.

Keywords: Cervical cancer; Endometrial cancer; Extraperitoneal Para-aortic Lymphadenectomy; Gynecological surgery; Ovarian cancer; Robotic surgery.

MeSH terms

Aorta, Thoracic / abnormalities
Aorta, Thoracic / surgery*
Humans
Laparoscopy / methods
Laparoscopy / statistics & numerical data*
Lymph Node Excision / instrumentation*
Lymph Node Excision / methods
Lymph Node Excision / statistics & numerical data
Lymph Nodes / surgery
Robotic Surgical Procedures / instrumentation
Robotic Surgical Procedures / methods
Robotic Surgical Procedures / statistics & numerical data