Feasibility and Surgical Outcomes of Hybrid Robotic Single-Site Hysterectomy Compared with Single-Port Access Total Laparoscopic Hysterectomy
We compared surgical outcomes between single-port access total laparoscopic hysterectomy (SPA-TLH) and hybrid robotic single-site hysterectomy (RSSH), a new technique of combining the benefits of SPA-TLH with RSSH in this study. A total of 64 patients were retrospectively analyzed. They underwent ei...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-07-01
|
| Series: | Journal of Personalized Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4426/13/7/1178 |
| _version_ | 1797588609438580736 |
|---|---|
| author | Joseph J. Noh Jung-Eun Jeon Ji-Hee Jung Tae-Joong Kim |
| author_facet | Joseph J. Noh Jung-Eun Jeon Ji-Hee Jung Tae-Joong Kim |
| author_sort | Joseph J. Noh |
| collection | DOAJ |
| description | We compared surgical outcomes between single-port access total laparoscopic hysterectomy (SPA-TLH) and hybrid robotic single-site hysterectomy (RSSH), a new technique of combining the benefits of SPA-TLH with RSSH in this study. A total of 64 patients were retrospectively analyzed. They underwent either hybrid RSSH or SPA-TLH for benign gynecologic disease between December 2018 and August 2021. To assess the feasibility of hybrid RSSH, the clinical characteristics and surgical outcomes were compared between the hybrid RSSH group (n = 29) and the SPA-TLH group (n = 35). All of the surgeries were completed without requiring additional ports or conversion to laparotomy. The surgical outcomes including total operative time, uterine weight, estimated blood loss, hemoglobin changes, length of hospital stay, and postoperative pain scores were not significantly different between the two groups. The colpotomy time, including the detachment of the uterosacral and cardinal ligaments, was shorter in the hybrid RSSH group than in the SPA-TLH group (8.0 min vs. 14.0 min; <i>p</i> = 0.029). However, the vaginal cuff closure time was longer in the hybrid RSSH group than in the SPA-TLH group (15.0 min vs.10.0 min; <i>p</i> = 0.001). No difference was observed with regards to intraoperative and postoperative complications. Hybrid RSSH appears to be a feasible procedure for hysterectomy in patients with benign gynecologic diseases. |
| first_indexed | 2024-03-11T00:55:27Z |
| format | Article |
| id | doaj.art-1f3edd3732904cb0bb838d300613c78e |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-11T00:55:27Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-1f3edd3732904cb0bb838d300613c78e2023-11-18T20:04:47ZengMDPI AGJournal of Personalized Medicine2075-44262023-07-01137117810.3390/jpm13071178Feasibility and Surgical Outcomes of Hybrid Robotic Single-Site Hysterectomy Compared with Single-Port Access Total Laparoscopic HysterectomyJoseph J. Noh0Jung-Eun Jeon1Ji-Hee Jung2Tae-Joong Kim3Gynecologic Cancer Center, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of KoreaGynecologic Cancer Center, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of KoreaGynecologic Cancer Center, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of KoreaGynecologic Cancer Center, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of KoreaWe compared surgical outcomes between single-port access total laparoscopic hysterectomy (SPA-TLH) and hybrid robotic single-site hysterectomy (RSSH), a new technique of combining the benefits of SPA-TLH with RSSH in this study. A total of 64 patients were retrospectively analyzed. They underwent either hybrid RSSH or SPA-TLH for benign gynecologic disease between December 2018 and August 2021. To assess the feasibility of hybrid RSSH, the clinical characteristics and surgical outcomes were compared between the hybrid RSSH group (n = 29) and the SPA-TLH group (n = 35). All of the surgeries were completed without requiring additional ports or conversion to laparotomy. The surgical outcomes including total operative time, uterine weight, estimated blood loss, hemoglobin changes, length of hospital stay, and postoperative pain scores were not significantly different between the two groups. The colpotomy time, including the detachment of the uterosacral and cardinal ligaments, was shorter in the hybrid RSSH group than in the SPA-TLH group (8.0 min vs. 14.0 min; <i>p</i> = 0.029). However, the vaginal cuff closure time was longer in the hybrid RSSH group than in the SPA-TLH group (15.0 min vs.10.0 min; <i>p</i> = 0.001). No difference was observed with regards to intraoperative and postoperative complications. Hybrid RSSH appears to be a feasible procedure for hysterectomy in patients with benign gynecologic diseases.https://www.mdpi.com/2075-4426/13/7/1178robot-assisted laparoscopysingle-port access laparoscopyminimally invasive surgeryhysterectomy |
| spellingShingle | Joseph J. Noh Jung-Eun Jeon Ji-Hee Jung Tae-Joong Kim Feasibility and Surgical Outcomes of Hybrid Robotic Single-Site Hysterectomy Compared with Single-Port Access Total Laparoscopic Hysterectomy Journal of Personalized Medicine robot-assisted laparoscopy single-port access laparoscopy minimally invasive surgery hysterectomy |
| title | Feasibility and Surgical Outcomes of Hybrid Robotic Single-Site Hysterectomy Compared with Single-Port Access Total Laparoscopic Hysterectomy |
| title_full | Feasibility and Surgical Outcomes of Hybrid Robotic Single-Site Hysterectomy Compared with Single-Port Access Total Laparoscopic Hysterectomy |
| title_fullStr | Feasibility and Surgical Outcomes of Hybrid Robotic Single-Site Hysterectomy Compared with Single-Port Access Total Laparoscopic Hysterectomy |
| title_full_unstemmed | Feasibility and Surgical Outcomes of Hybrid Robotic Single-Site Hysterectomy Compared with Single-Port Access Total Laparoscopic Hysterectomy |
| title_short | Feasibility and Surgical Outcomes of Hybrid Robotic Single-Site Hysterectomy Compared with Single-Port Access Total Laparoscopic Hysterectomy |
| title_sort | feasibility and surgical outcomes of hybrid robotic single site hysterectomy compared with single port access total laparoscopic hysterectomy |
| topic | robot-assisted laparoscopy single-port access laparoscopy minimally invasive surgery hysterectomy |
| url | https://www.mdpi.com/2075-4426/13/7/1178 |
| work_keys_str_mv | AT josephjnoh feasibilityandsurgicaloutcomesofhybridroboticsinglesitehysterectomycomparedwithsingleportaccesstotallaparoscopichysterectomy AT jungeunjeon feasibilityandsurgicaloutcomesofhybridroboticsinglesitehysterectomycomparedwithsingleportaccesstotallaparoscopichysterectomy AT jiheejung feasibilityandsurgicaloutcomesofhybridroboticsinglesitehysterectomycomparedwithsingleportaccesstotallaparoscopichysterectomy AT taejoongkim feasibilityandsurgicaloutcomesofhybridroboticsinglesitehysterectomycomparedwithsingleportaccesstotallaparoscopichysterectomy |