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. 2015 Jan;26(1):62-7.
doi: 10.3802/jgo.2015.26.1.62.

Single-site robotic surgery in gynecologic cancer: a pilot study

Ha Na Yoo  1 , Tae Joong Kim  2 , Yoo Young Lee  1 , Chel Hun Choi  1 , Jeong Won Lee  1 , Duk Soo Bae  1 , Byoung Gie Kim  1
Affiliations

Single-site robotic surgery in gynecologic cancer: a pilot study

Ha Na Yoo et al. J Gynecol Oncol. 2015 Jan.

Abstract

Objective: To discuss the feasibility of single-site robotic surgery for benign gynecologic tumors and early stage gynecologic cancers.

Methods: In this single institution, prospective analysis, we analyzed six patients who had undergone single-site robotic surgery between December 2013 and August 2014. Surgery was performed using the da Vinci Si Surgical System. Patient characteristics and surgical outcomes were analyzed.

Results: Single-site robotic surgery was performed successfully in all six cases. The median patient age was 48 years, and the median body mass index was 25.5 kg/m² (range, 22 to 33 kg/m²). The median total operative time was 211 minutes, and the median duration of intracorporeal vaginal cuff suturing was 32 minutes (range, 22 to 47 minutes). The median duration of pelvic lymph node dissection was 31 minutes on one side and 27 minutes on the other side. Patients' postoperative courses were uneventful. The median postoperative hospital stay was 4 days. No postoperative complications occurred.

Conclusion: When used to treat benign gynecologic tumors and early stage gynecologic cancers, the single-site da Vinci robotic surgery is feasible, safe, and produces favorable surgical outcomes.

Keywords: Gynecology; Minimally Invasive Surgical Procedures; Operation Time; Postoperative Complications; Robotic Surgical Procedure; Single-site.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
The da Vinci Si Surgical system. (A) Before docking. (B) After docking. (C) Platform. (D) Abdominal wall after platform removed.
Fig. 2
Fig. 2
(A) Lymph node dissection with assistant's grasper. (B) Colpotomy. (C) Intracorporeal closure of vaginal stump. (D) Postoperative view.
See this image and copyright information in PMC

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