Publications by authors named "M Andou"
Robot-Assisted Nerve-Sparing Eradication of Deep Endometriosis Using the da Vinci SP.
J Minim Invasive Gynecol
October 2024
Article Synopsis
- - The text discusses the advantages of nerve-sparing surgery for deep endometriosis, emphasizing how it can minimize pelvic organ dysfunction post-surgery through improved anatomical knowledge and surgical techniques.
- - It highlights the use of the da Vinci SP robotic system, which has advanced tools that enhance precision in complex surgeries compared to traditional single-port laparoscopic methods, though its full potential is still being explored.
- - A case study is presented involving a 47-year-old woman with chronic pelvic pain, illustrating that the technique used in the surgery mimics conventional robotic procedures, benefiting from the SP system's superior visualization and instrument maneuverability.
Purpose: Drug resistance and severe pelvic pain often warrant surgical intervention for treating deep endometriosis (DE); however, damage to the autonomic nervous system can occur because of anatomical considerations. We aimed to investigate the advantages of robotic technology in enabling precise dissection, even in DE.
Methods: We retrospectively compared the surgical outcomes of robot-assisted (RA) and conventional laparoscopic (CL) nerve-sparing modified radical hysterectomies (NSmRHs) for DE.
Segmental Bowel Resection for Rectal Endometriosis Using the da Vinci SP.
J Minim Invasive Gynecol
January 2025
Objective: The da Vinci SP Surgical System (SP) received regulatory approval for use in gynecological surgeries in Japan in 2023. Given the advantages of the precision of a robot, less pain, and the cosmesis of single-port surgery, the da Vinci SP is expected to be further used for minimally invasive surgeries. To the best of our knowledge, this is the first report of the use of SP for the treatment of rectal endometriosis with segmental bowel resection.
View Article and Find Full Text PDFArticle Synopsis
- The study showcases a step-by-step guide to conducting nerve-sparing deep endometriosis surgery using a new single-port robotic system in a general hospital setting.
- A 46-year-old woman with severe pelvic pain and rectal endometriosis was the patient, and the surgery involved nine steps with a da Vinci SP surgical system.
- The single-port robotic system demonstrated advantages like high-resolution visuals and improved instrument maneuverability, suggesting it can effectively replace traditional laparoscopic methods.
The extraperitoneal laparoscopic approach (ELPAN) for para-aortic lymphadenectomy provides excellent visibility of the left side of the aorta, thus facilitating surgery in the retroperitoneal space. This technique is highly complex compared with the transperitoneal approach. In particular, advanced techniques are required to develop an appropriate surgical field in the narrow retroperitoneal space; therefore, surgeons need to undergo a significant amount of training to become competent.
View Article and Find Full Text PDF