title: Concurrent use of a robotic uterine manipulator and a robotic laparoscope holder to achieve assistant-less solo laparoscopy: the double ViKY.
abstract: Three patients requiring gynecological surgery had uterine manipulation using a VCare(®) controlled by a ViKY(®) at the same time as having a ViKY(®) robotic arm controlling the laparoscope. The setup time for each varied from 6-9 min for the uterine manipulator and 3-5 min for the laparoscope holder. In all cases (one endometriosis and two dermoid cysts) the operative field was good. Two patients were discharged within 24 h of surgery. One patient required an extra day in hospital after she went into acute urinary retention once the catheter was removed. This work demonstrated that assistant-less solo gynecological surgery is feasible using two ViKY robotic arms for both uterine manipulation and laparoscope holding.
authors.affiliation: St Georges NHS Trust, Blackshaw Road, Tooting, London, SW17 0QT, UK.
authors.forename: Manish
authors.initials: M
authors.lastname: Maheshwari
authors.affiliation: St Georges NHS Trust, Blackshaw Road, Tooting, London, SW17 0QT, UK. ThomasInd@mac.com.|Royal Marsden Hospital NHS Trust, Fulham Road, Chelsea, London, SW3 6JJ, UK. ThomasInd@mac.com.
authors.forename: Thomas
authors.initials: T
authors.lastname: Ind
mesh_terms: D000328:Adult; D003884:Dermoid Cyst / Q000601:surgery; D004715:Endometriosis / Q000601:surgery; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods; D065287:Robotic Surgical Procedures / Q000295:instrumentation*; D014599:Uterus / Q000601:surgery*
keywords: Camera holder; Laparoscopy; Uterine manipulator