Robotic single-port transumbilical total hysterectomy: A pilot study

Eun Ji Nam, Sang Wun Kim, Maria Lee, Ga Won Yim, Ji Heum Paek, San Hui Lee, Sunghoon Kim, Jae Hoon Kim, Jae Wook Kim, Young Tae Kim

Research output: Contribution to journalReview article

45 Citations (Scopus)

Abstract

Objective: To evaluate the feasibility of robotic single-port transumbilical total hysterectomy using a home-made surgical glove port system. Methods: We retrospectively reviewed the medical records of patients who underwent robotic single-port transumbilical total hysterectomy between January 2010 and July 2010. All surgical procedures were performed through a single 3-4-cm umbilical incision, with a multi-channel system consisting of a wound retractor, a surgical glove, and two 10/12-mm and two 8 mm trocars. Results: Seven patients were treated with robotic single-port transumbilical total hysterectomy. Procedures included total hysterectomy due to benign gynecological disease (n=5), extra-fascial hysterectomy due to carcinoma in situ of the cervix (n=1), and radical hysterectomy due to cervical cancer IB1 (n=1). The median total operative time was 109 minutes (range, 105 to 311 minutes), the median blood loss was 100 mL (range, 10 to 750 mL), and the median weight of the resected uteri was 200 g (range, 40 to 310 g). One benign case was converted to 3-port robotic surgery due to severe pelvic adhesions, and no post-operative complications occurred. Conclusion: Robotic single-port transumbilical total hysterectomy is technically feasible in selected patients with gynecological disease. Robotics may enhance surgical skills during single-port transumbilical hysterectomy, especially in patients with gynecologic cancers.

Original languageEnglish
Pages (from-to)120-126
Number of pages7
JournalJournal of Gynecologic Oncology
Volume22
Issue number2
DOIs
Publication statusPublished - 2011

All Science Journal Classification (ASJC) codes

  • Oncology
  • Obstetrics and Gynaecology

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    Nam, E. J., Kim, S. W., Lee, M., Yim, G. W., Paek, J. H., Lee, S. H., Kim, S., Kim, J. H., Kim, J. W., & Kim, Y. T. (2011). Robotic single-port transumbilical total hysterectomy: A pilot study. Journal of Gynecologic Oncology, 22(2), 120-126. https://doi.org/10.3802/jgo.2011.22.2.120