Innovations in Robotic Surgery: Fertility Sparing Stage IV Endometriosis Resection With the DaVinci Single-Port (SP)...

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Advanced Robotic Surgery Techniques
• Endometriosis Management

Background:

• Stage IV endometriosis presents complex surgical challenges, often requiring multidisciplinary approaches.
• Fertility preservation is a critical consideration for patients with advanced endometriosis.
• The DaVinci Single-Port (SP) Robot system offers a novel platform for minimally invasive procedures.

Purpose of the Study:

• To showcase a fertility-sparing resection of stage IV endometriosis using the DaVinci SP Robot.
• To provide practical surgical tips and efficiency strategies for the DaVinci SP system in gynecologic surgery.
• To educate surgeons on the application of the DaVinci SP system for complex cases.

Main Methods:

• A 37-year-old female with stage IV deep infiltrating endometriosis underwent robotic resection.
• The procedure involved lysis of adhesions, ureterolysis, retroperitoneal dissection, and a low anterior resection.
• Surgery was performed using the DaVinci SP Robot system in a minimally invasive approach.

Main Results:

• Successful complete excision of endometriosis burden while preserving fertility.
• Demonstrated feasibility of complex gynecologic surgery, including low anterior resection, with the DaVinci SP system.
• Highlighted unique features of the SP system, such as triangulation and incision closure techniques.

Conclusions:

• The DaVinci SP System enables successful complex gynecologic surgeries like stage IV endometriosis resection.
• The system facilitates fertility preservation in patients with advanced endometriosis.
• The SP system offers benefits for complex procedures, maintaining a minimally invasive approach.