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SP Robot-Assisted vNOTES for a Right Ovarian Cystectomy.
Daniel Y Lovell1, Qiannan Yang1, Xiaoming Guan1
1Department of Minimally Invasive Gynecologic Surgery, Baylor College of Medicine, Houston, Texas (all authors).
Journal of Minimally Invasive Gynecology
|March 18, 2026
Summary
This study demonstrates the feasibility of robot-assisted vaginal natural orifice transluminal endoscopic surgery (vNOTES) for ovarian cyst removal. The da Vinci SP platform enables a minimally invasive right ovarian cystectomy using advanced robotic techniques.
Area of Science:
- Minimally Invasive Gynecologic Surgery
- Robotic Surgery
- Gynecologic Oncology
Background:
- Ovarian cysts are common, and surgical intervention is sometimes necessary.
- Traditional surgical approaches can involve significant invasiveness.
- Natural orifice transluminal endoscopic surgery (NOTES) offers a minimally invasive alternative.
Purpose of the Study:
- To demonstrate the feasibility and technique of performing a right ovarian cystectomy using robot-assisted vaginal natural orifice transluminal endoscopic surgery (vNOTES).
- To showcase the application of the da Vinci Single Port (SP) robotic platform in vNOTES procedures.
Main Methods:
- A single patient video case report from an academic institution.
- Utilized the da Vinci SP robotic platform for a vNOTES right ovarian cystectomy.
- Detailed the surgical steps including adhesiolysis, cyst isolation, and cystectomy.
Main Results:
- Successfully performed a robot-assisted vNOTES right ovarian cystectomy.
- Highlighted the capabilities of the da Vinci SP system, including articulating instruments and camera technology.
- Demonstrated effective specimen retrieval using the SP docking globe.
Conclusions:
- Robot-assisted vNOTES ovarian cystectomy using the da Vinci SP platform is feasible.
- The da Vinci SP system offers versatility and enhanced capabilities for minimally invasive gynecologic procedures.
- This technique represents a viable option for selected ovarian cystectomies.
