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Da Vinci SP Single-Port Robotic Surgery in Gynecologic Tumors: Single Surgeon's Initial Experience with 100 Cases

Authors
Kwak, Young HwaLee, HwajungSeon, KieunLee, Young JooLee, Yong JaeKim, Sang Wun
Issue Date
Feb-2022
Publisher
연세대학교의과대학
Keywords
da Vinci SP surgical system; single-port surgery; gynecologic tumor
Citation
Yonsei Medical Journal, v.63, no.2, pp.179 - 186
Indexed
SCIE
SCOPUS
KCI
Journal Title
Yonsei Medical Journal
Volume
63
Number
2
Start Page
179
End Page
186
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/55279
DOI
10.3349/ymj.2022.63.2.179
ISSN
0513-5796
Abstract
Purpose: To report preliminary experience of single-port robotic surgery using the da Vinci SP surgical system in gynecologic tumors. Materials and Methods: This was a retrospective study on 100 consecutive patients who underwent da Vinci SP single-port robotic surgery between November 2018 and January 2021. All procedures were performed by an experienced gynecologic surgeon using a single 2.5-cm umbilical incision. Results: Of the 100 cases, the procedures included myomectomy (n=76), hysterectomy (n=2), endometrial cancer surgical staging (n=14), radical hysterectomy (n=3), radical trachelectomy (n=3), and ovarian cystectomy (n=2). None of the cases was converted to robotic multiport or open surgery. The median docking time was 5.0 minutes [interquartile range (IQR), 3.0–7.0], the median console time was 107.5 minutes (IQR, 78.7–155.8), and the median total operation time was 250.0 minutes (IQR, 215.0–310.0). The median estimated blood loss was 50.0 mL (IQR, 30.0–100.0), and the median change in hemoglobin level was 0.8 g/dL (IQR, 0.3–1.3). The median pain scores rated on a numerical rating scale immediately after and at 6, 12, and 24 hours after surgery were 5, 2, 2, and 2, respectively. The mean duration of postoperative hospitalization was 2.8 days. Conclusion: Da Vinci SP single-port robotic surgery was successfully performed in various gynecologic tumors without significant complications. Therefore, this surgical system could be applied in patients who want precise gynecologic surgery while minimizing surgical incision.
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