Robotic laparoendoscopic single-site (LESS) and reduced port hysterectomy using the da Vinci SP® Surgical System: a single institution case series

Abstract

Study objective

: To present a series of robotic laparoendoscopic single-site (LESS) and reduced port hysterectomy cases and discuss the surgical technique required for successful use on this new platform

Design

Retrospective case series

Setting

Academic medical center

Patients

All patients undergoing robotic LESS or reduced port hysterectomy with the SP1098 da Vinci SP® Surgical System from December 2019 to March 2020

Interventions

Robotic LESS or reduced port hysterectomy

Measurements and main results

A total of 8 cases of hysterectomy were performed successfully. 4 cases included concomitant resection of endometriosis. 5 cases required placement of an additional port. Average uterine weight was 136.1 ± 61.5 grams (range 87 – 246). Average estimated blood loss was 37.5 ± 27 mL (range: 20 – 100). Average operative time was 86.5 ± 27.1 minutes (range 60 – 132). Time required for vaginal cuff closure was available for patients #5 – #8 and ranged from 10 – 13 minutes. All patients had same day discharge. There were no conversions to alternate surgical modality, complications, or readmissions.

Conclusion

Our preliminary experience with the SP1098 da Vinci SP® Surgical System demonstrates the technical feasibility and safety of this surgical modality for gynecologic surgery. Additional studies examining postoperative outcomes and prospective studies comparing this modality to traditional robotic surgery are indicated.