J Gynecol Oncol.  2015 Jan;26(1):62-67. 10.3802/jgo.2015.26.1.62.

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

• Yoo HN
• Kim TJ
• Lee YY
• Choi CH
• Lee JW
• Bae DS
• Kim BG

• KMID: 2158804
• DOI: http://doi.org/10.3802/jgo.2015.26.1.62

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.

Keyword

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

MeSH Terms

Adult
Body Mass Index
Feasibility Studies
Female
Genital Neoplasms, Female/*surgery
Humans
Length of Stay/statistics & numerical data
Lymph Node Excision/methods
Middle Aged
Minimally Invasive Surgical Procedures/adverse effects/methods
Operative Time
Pilot Projects
Robotic Surgical Procedures/adverse effects/*methods
Treatment Outcome

Figure

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  Fig. 1 The da Vinci Si Surgical system. (A) Before docking. (B) After docking. (C) Platform. (D) Abdominal wall after platform removed.

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  Fig. 2 (A) Lymph node dissection with assistant's grasper. (B) Colpotomy. (C) Intracorporeal closure of vaginal stump. (D) Postoperative view.

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