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

      , MD * , , MD, , MD

      Journal of Minimally Invasive Gynecology

      Published by Elsevier Inc. on behalf of AAGL.

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          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.

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          Author and article information

          Contributors
          Journal
          J Minim Invasive Gynecol
          J Minim Invasive Gynecol
          Journal of Minimally Invasive Gynecology
          Published by Elsevier Inc. on behalf of AAGL.
          1553-4650
          1553-4669
          20 August 2020
          20 August 2020
          Affiliations
          Department of Gynecology, Mayo Clinic Arizona, Phoenix, AZ
          Author notes
          [* ]Corresponding author: Meenal Misal, MD, 5777 E. Mayo Blvd., Phoenix, AZ 85054, (480) 342-01612 (work) meenal.misal@ 123456gmail.com
          Article
          S1553-4650(20)30388-5
          10.1016/j.jmig.2020.08.009
          7438228
          © 2020 Published by Elsevier Inc. on behalf of AAGL.

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