Comparison Between Robotic and Conventional Laparoscopic Hysterectomy Performed Using Single-Port Approach

Area of Science:

• Minimally Invasive Surgery
• Surgical Robotics
• Gynecologic Oncology

Background:

• Robotic surgery adoption is increasing globally with new techniques emerging.
• The da Vinci SP surgical system, a novel single-port robotic platform, was introduced in Japan.
• This study compares its outcomes to conventional laparoscopic hysterectomy.

Purpose of the Study:

• To evaluate the safety and efficacy of single-port robotic hysterectomy using the da Vinci SP system.
• To compare surgical outcomes and complications with conventional single-port plus one-port laparoscopic hysterectomy.

Main Methods:

• Retrospective comparison of 20 patients undergoing da Vinci SP robotic hysterectomy (SP-RH) and 37 patients undergoing single-port plus one-port laparoscopic hysterectomy (SP+1-LH).
• Surgical outcomes, including intraoperative blood loss and complications, were analyzed.
• Postoperative inflammatory markers (C-reactive protein) were assessed.

Main Results:

• SP-RH group demonstrated significantly lower intraoperative blood loss compared to SP+1-LH.
• No significant difference in intraoperative complication rates was observed between the groups.
• Postoperative C-reactive protein levels were lower on day 3 in the SP+1-LH group, with no other significant differences in inflammatory response.

Conclusions:

• Single-port robotic hysterectomy with the da Vinci SP system is safe for clinical implementation.
• The da Vinci SP system represents a novel platform for minimally invasive surgical procedures.
• Further research may explore long-term outcomes and broader applications.