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Updated: Nov 4, 2025

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Robotic single-site versus multi-port myomectomy: a case-control study.

So Hyun Ahn1,2, Joo Hyun Park3,4, Hye Rim Kim5

  • 1Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.

BMC Surgery
|May 28, 2021
PubMed
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Robotic single-site (RSS) myomectomy offers a safe and reproducible alternative to conventional multi-port (RMP) robotic myomectomy. RSS myomectomy resulted in shorter operative times and reduced postoperative pain, enhancing patient satisfaction.

Area of Science:

  • Minimally Invasive Surgery
  • Gynecologic Oncology
  • Robotic Surgery

Background:

  • Uterine fibroids (myomas) are common, often requiring surgical intervention.
  • Robotic myomectomy offers minimally invasive options for fibroid removal.
  • Evaluating novel approaches like robotic single-site (RSS) surgery is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To compare the efficacy and safety of robotic single-site (RSS) myomectomy against conventional robotic multi-port (RMP) myomectomy.
  • To assess the reliability and reproducibility of RSS myomectomy.
  • To determine if RSS myomectomy compromises surgical outcomes compared to RMP myomectomy.

Main Methods:

  • Retrospective case-control study of 236 robotic myomectomies.
Keywords:
Comparative studyMinimally invasive surgeryRobot myomectomyRobotic multi-port myomectomyRobotic single-site myomectomy

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  • Propensity score matching created matched groups of 90 patients for RSS and RMP myomectomy.
  • Analysis of demographics, preoperative, intraoperative, and postoperative outcomes.

    • Main Results:

    • RSS myomectomy demonstrated a significantly shorter total operative time (150.9 min vs. 170 min).
    • Postoperative pain scores were significantly lower in the RSS group (2.4 vs. 2.7 on VAS scale).
    • No significant differences were observed in transfusion rates, estimated blood loss, or hospital stay.

    Conclusions:

    • Robotic single-site myomectomy is a compatible, safe, and reproducible surgical option.
    • RSS myomectomy achieves comparable outcomes to RMP myomectomy without compromising fibroid removal.
    • Shorter operative times and reduced pain in RSS myomectomy contribute to improved patient satisfaction.