Two-Port Robotic-Assisted Hysterectomy: A Case Series Demonstrating Feasibility

Area of Science:

• Minimally Invasive Surgery
• Robotic Surgery
• Gynaecology

Background:

• Two-port robotic-assisted hysterectomy offers a minimally invasive alternative to traditional multi-port surgery.
• Enhanced robotic instrument articulation may enable effective surgery via two ports, potentially reducing pain and hernia risk.

Purpose of the Study:

• To demonstrate the feasibility and versatility of two-port robotic-assisted hysterectomy.
• To evaluate the technique across diverse patient scenarios.

Main Methods:

• Three patients underwent two-port robotic-assisted hysterectomy after informed consent.
• Surgical approach varied slightly in port placement for the camera and instruments.
• Nasogastric tube used for suction/irrigation; endometriosis excision performed in one case.

Main Results:

• All three procedures were successfully completed using only two ports.
• Patients experienced smooth recovery, rapid discharge, and excellent cosmetic outcomes.
• Full symptom resolution was achieved in all cases.

Conclusions:

• Two-port robotic-assisted hysterectomy is feasible for straightforward cases without complex comorbidities.
• This technique shows promise for minimally invasive gynaecologic surgery.
• Further research is required to compare its efficacy and invasiveness with conventional methods.