Da Vinci SP Single-Port Robotic Surgery in Gynecologic Tumors: Single Surgeon's Initial Experience with 100 Cases
- Authors
- Kwak, Young Hwa; Lee, Hwajung; Seon, Kieun; Lee, Young Joo; Lee, Yong Jae; Kim, 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
- Pages
- 8
- 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
1976-2437
- 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.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 2. Clinical Science > Department of Obstetrics and Gynecology > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.