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Robotic single-site hysterectomy: two institutions' preliminary experience
Stefano Bogliolo1, Liliana Mereu2, Chiara Cassani1
1Department of Obstetrics and Gynaecology, IRCCS-Fondazione Policlinico San Matteo and University of Pavia, Italy.
Summary
Robotic single-site hysterectomy is a safe and feasible surgical option for gynecological conditions, offering good pain control and cosmetic outcomes. This minimally invasive approach is effective even for obese patients or those with large uteri.
Area of Science:
- Minimally Invasive Surgery
- Gynecological Oncology
- Robotic Surgery
Background:
- Evaluating robotic single-site hysterectomy for gynecological diseases.
- Assessing feasibility, safety, and patient outcomes.
- Addressing benign and malignant gynecological conditions.
Purpose of the Study:
- To assess the feasibility and safety of robotic single-site hysterectomy.
- To evaluate peri- and postoperative outcomes.
- To explore correlations between patient/procedural factors and outcomes.
Main Methods:
- Retrospective study of 45 patients undergoing robotic single-site hysterectomy.
- Inclusion of patients with benign and malignant gynecological diseases.
- Comparison of outcomes between two institutions, analyzing BMI, height, uterine size, operative time, and blood loss.
Main Results:
- Mean operative time: 134 minutes; mean console time: 93 minutes.
- Mean intra-operative blood loss: 53 ml (center 1) and 33 ml (center 2).
- Low complication rate observed, with no significant differences between centers for operative/console times and blood loss.
Conclusions:
- Robotic single-site hysterectomy is feasible and safe.
- The procedure offers optimal postoperative pain control and improved cosmetic results.
- This technique is effective in obese patients and those with large uteri.
