Clinical Data from Cork

Robot Surgery

Dr. Matt Hewitt

Consultant Obstetrician and Gynaecologist

Contact Dr Hewitt

Clinical Data from Cork

Background

The Cork robot was the first to be used in Ireland.

The Cork University Maternity Hospital has been designated an 'Epicentre for Gynaecological Robotic Surgery'. This is the only such centre in europe to offer both oncology and urogynae surgery.

A robotic programme was first started in Cork in July 2008

As of December 2013 we have performed over 500 cases.

This includes:

  • simple hysterectomy
  • radical hysterectomy
  • pelvic lymphadenctomy
  • trachelectomy
  • excision of endoemtriosis
  • myomectomy
  • sacrocolpopexy (Performed by Dr B O'Reilly and Dr S O'Sullivan)
  • cervical cerclage
  • repair of vesicovaginal fistula

 

 

 

Set up learning curves

We recorded the time to set up the robot ready for use for the first cases.

Set up includes; turn on, homing, white balance, focus and draping

As can be seen we now set up in about 20 minutes

 

 

Docking times

One of the perceived disadvantages of the robot is the time to dock the robot to the patient.

Docking includes; Cart moved to patient side, robot arms clipped to patient ports, port depth checked and instruments inserted ready for use.

Docking does not occur in conventional straight stick surgery and thus could increase the operation duration of Robot surgery.

As can be seen from the graph below our docking times are consistently below 5 mnutes and are often under 3 minutes.

 

Hysterectomy - mode of surgery. Data from the CUMH 2010 and 2011

The aim of the consultants based at the Cork University Maternity Hospital is to limit the number of open hysterectomies.

We believe that a lower transverse (LT) hysterectomy should be an infrequently performed procedure.

The introduction of the da Vinci robot into our department has enabled us to lower the number of lower transverse hysterectomies between 7% and 9%.

This is well below the National average.

 

Number of procedures