TY - JOUR
T1 - Robotic LESS and Reduced-Port Hysterectomy Using the da Vinci SP Surgical System
T2 - A Single-Institution Case Series
AU - Misal, Meenal
AU - Magtibay, Paul M.
AU - Yi, Johnny
N1 - Publisher Copyright:
© 2020 AAGL
PY - 2021/5
Y1 - 2021/5
N2 - Study Objective: To present a series of robotic laparoendoscopic single-site surgery (LESS) and reduced-port hysterectomy cases and discuss the surgical technique required for successful use on this new platform. Design: Retrospective case series. Setting: Academic medical center. Patients: All patients undergoing robotic LESS or reduced-port hysterectomy with the SP1098 da Vinci SP Surgical System (Intuitive Surgical, Sunnyvale, CA) from December 2019 to March 2020. Interventions: Robotic LESS or reduced-port hysterectomy. Measurements and Main Results: A total of 8 cases of hysterectomy were performed successfully. Four cases included concomitant resection of endometriosis. Five cases required placement of an additional port. The average uterine weight was 136.1 g ± 61.5 g (range 87–246). The average estimated blood loss was 37.5 mL ± 27 mL (range 20–100). The average operative time was 86.5 minutes ± 27.1 minutes (range 60–132). The time required for vaginal cuff closure was available for patients 5 to 8, and ranged from 10 minutes to 13 minutes. All patients had same-day discharge. There were no conversions to alternative surgical modality, complications, or readmissions. Conclusion: Our preliminary experience with the SP1098 da Vinci SP Surgical System demonstrated the technical feasibility and safety of this surgical modality for gynecologic surgery. Additional studies examining postoperative outcomes and prospective studies comparing this modality with traditional robotic surgery are indicated.
AB - Study Objective: To present a series of robotic laparoendoscopic single-site surgery (LESS) and reduced-port hysterectomy cases and discuss the surgical technique required for successful use on this new platform. Design: Retrospective case series. Setting: Academic medical center. Patients: All patients undergoing robotic LESS or reduced-port hysterectomy with the SP1098 da Vinci SP Surgical System (Intuitive Surgical, Sunnyvale, CA) from December 2019 to March 2020. Interventions: Robotic LESS or reduced-port hysterectomy. Measurements and Main Results: A total of 8 cases of hysterectomy were performed successfully. Four cases included concomitant resection of endometriosis. Five cases required placement of an additional port. The average uterine weight was 136.1 g ± 61.5 g (range 87–246). The average estimated blood loss was 37.5 mL ± 27 mL (range 20–100). The average operative time was 86.5 minutes ± 27.1 minutes (range 60–132). The time required for vaginal cuff closure was available for patients 5 to 8, and ranged from 10 minutes to 13 minutes. All patients had same-day discharge. There were no conversions to alternative surgical modality, complications, or readmissions. Conclusion: Our preliminary experience with the SP1098 da Vinci SP Surgical System demonstrated the technical feasibility and safety of this surgical modality for gynecologic surgery. Additional studies examining postoperative outcomes and prospective studies comparing this modality with traditional robotic surgery are indicated.
KW - R-LESS
KW - Single site
KW - Single-incision surgery
UR - http://www.scopus.com/inward/record.url?scp=85090164479&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85090164479&partnerID=8YFLogxK
U2 - 10.1016/j.jmig.2020.08.009
DO - 10.1016/j.jmig.2020.08.009
M3 - Article
C2 - 32827720
AN - SCOPUS:85090164479
SN - 1553-4650
VL - 28
SP - 1095
EP - 1100
JO - Journal of Minimally Invasive Gynecology
JF - Journal of Minimally Invasive Gynecology
IS - 5
ER -