Two-port robotic hysterectomy: a novel approach

Area of Science:

• Minimally Invasive Surgery
• Gynecologic Oncology
• Robotic Surgery

Background:

• Minimally invasive surgery offers benefits like fewer complications and improved quality of life.
• Standard gynecological procedures often require 3-5 ports, increasing risks of infection, pain, and hernia.
• New methods are emerging to reduce port usage in gynecologic surgery.

Purpose of the Study:

• To demonstrate a novel two-port robotic hysterectomy technique.
• To focus on challenging aspects such as salpingectomy and vaginal cuff closure.
• To present a technical video detailing the step-by-step procedure.

Main Methods:

• A two-port robotic hysterectomy was performed, utilizing a camera port and one robotic arm.
• Transvaginal and transabdominal approaches for salpingectomy were described.
• A novel transvaginal technique for vaginal cuff closure was detailed.

Main Results:

• The described techniques for salpingectomy provide excellent tension and exposure.
• The novel transvaginal cuff closure technique was effective.
• The two-port approach facilitates safe salpingectomy and cuff closure without extra ports.

Conclusions:

• Two-port robotic-assisted total laparoscopic hysterectomy is a feasible procedure for carefully selected patients.
• This technique minimizes incisions, potentially reducing patient morbidity.
• The described methods enhance safety and efficiency in robotic hysterectomy.