RESUMEN

El sistema Da Vinci comenzó a utilizarse hace 15 años y, desde entonces, ha ido ganando terreno en el campo de la cirugía. En el 2005 la FDA aprobó su uso para cirugía ginecológica. En México se carece de experiencia en el uso de esta tecnología en la práctica ginecoobstétrica. Aquí se reporta el primer caso intervenido en México de histerectomía laparoscópica asistida con robot, y se revisa la bibliografía internacional a este respecto.

Caso clínico: paciente de 47 años de edad, con diagnóstico clínico y ultrasonográfico de miomatosis uterina de grandes elementos, a quien se realizó histerectomía laparoscópica asistida con robot en el Hospital Angeles del Pedregal en mayo de 2014. La cirugía duró 2 horas 35 minutos. El sangrado transquirúrgico cuantificado fue menor de 50 mL, sin complicaciones y con test de EVA de 2 a las 24 horas del procedimiento; la estancia hospitalaria fue de 2 días. 

De acuerdo con lo reportado en el ámbito internacional la histerectomía laparoscópica asistida con robot es un procedimiento confiable que ofrece ventajas para el cirujano y para la paciente.  

Palabras clave: cirugía robótica, histerectomía, histerectomía laparoscópica

ABSTRACT

Some 15 years ago since the Da Vinci system is launched in the market and since then has been gaining ground in the field of surgery. There have been published case series and large casuisticals comparing the benefits from robotic surgery versus laparoscopic. In 2005 the Food & Drug Administration (FDA) approves its use for gynecological surgery. In Mexico, we have no experience in the use of this technology in this field of medicine. To describe the first  laparoscopic hysterectomy case assisted with a robot (LHAR) intervened in Mexico, the results and review of the literature reported at the global level. 

Clinical case: this is a 47 year-old patient with clinical and ultrasonographic diagnosis of uterine fibroids of large items, who is scheduled for laparoscopic hysterectomy assisted with robot at Hospital Angeles del Pedregal in May of 2014. It examines the parameters of surgical time, transoperative bleeding, surgical complications, postoperative pain and hospital stay. It is also a review of the literature and compared the results obtained with what is reported in the literature world. The surgery had a duration of 2 hours 35 minutes. Blood loss was less than 50 mL. There were no complications and the patient had an EVA test of 2 at 24 hours after surgery. Hospital stay was 2 days. Laparoscopic hysterectomy assisted with a robot is a reliable procedure according to what is reported at the global level, offering benefits to both the surgeon and the patient.

Key words: Robotic Surgery, Hysterectomy, Laparoscopic Hysterectomy