PMID- 32686302
OWN - NLM
STAT- MEDLINE
DCOM- 20210621
LR  - 20210621
IS  - 1447-0756 (Electronic)
IS  - 1341-8076 (Linking)
VI  - 46
IP  - 9
DP  - 2020 Sep
TI  - Robotic single-site surgery in benign gynecologic diseases: Experiences and 
      learning curve based on 626 robotic cases at a single institute.
PG  - 1885-1892
LID - 10.1111/jog.14372 [doi]
AB  - AIM: The purpose of this study was to report on 626 cases of successful robotic 
      single-site (RSS) surgeries to address various types of gynecologic disease and 
      to evaluate the outcomes and learning curve inherent to RSS surgery in the 
      gynecology field. METHODS: A total of 626 cases of RSS surgeries were performed 
      by 3 gynecologic surgeons at Ewha Womans University Medical Center, Robot Surgery 
      Center from November 2014 to January 2018 were collected retrospectively. All of 
      the patients' charts were reviewed, and the clinical characteristics and surgical 
      variables were analyzed. RESULTS: Among the total of 626 cases, there were 220 
      cases of RSS myomectomy (RSSM), 182 cases of RSS hysterectomy (RSSH), 195 of RSS 
      adnexectomy, 24 of RSS sacrocolpopexy (RSS SCP) and 5 were classified as other 
      RSS surgeries. The patient's mean age was 38.98 +/- 10.07 years. There was 
      3.99 +/- 2.15 min of mean docking time and 117.78 +/- 51.18 min of mean operating 
      time. The surgical variables were analyzed annually. The total operating time was 
      seen to decrease significantly according to each period. The docking time 
      declined significantly and gradually after 1 year. We also analyzed each of the 
      surgical types by time. The operating time of RSSH, RSSM, RSS adnexectomy and RSS 
      SCP fell over time. The tendency found was for operating time to decline sharply 
      following the first 10 cases. When we analyzed the data at annual intervals, the 
      operating time was most significantly less and stable following the first year. 
      There were a few intraoperative or perioperative complications in 16 cases 
      (2.6%). CONCLUSION: Robotic single-site surgery is a feasible and safe procedure 
      for treating various kinds of gynecologic diseases. The learning curve was 
      approximately 10 cases of RSS surgery in gynecologic disease, having a greater 
      amount of experience at performing RSS surgery was revealed to be key to 
      achieving better surgical outcomes.
CI  - (c) 2020 Japan Society of Obstetrics and Gynecology.
FAU - Yoo, Hae K
AU  - Yoo HK
AD  - Department of Obstetrics and Gynecology, Robot Surgery Center, College of 
      Medicine, Ewha Womans University, Seoul, South Korea.
FAU - Cho, Ahyoung
AU  - Cho A
AD  - Department of Obstetrics and Gynecology, Robot Surgery Center, College of 
      Medicine, Ewha Womans University, Seoul, South Korea.
FAU - Cho, Eun H
AU  - Cho EH
AD  - Department of Obstetrics and Gynecology, Robot Surgery Center, College of 
      Medicine, Ewha Womans University, Seoul, South Korea.
FAU - Kim, Soo J
AU  - Kim SJ
AD  - Department of Obstetrics and Gynecology, Robot Surgery Center, College of 
      Medicine, Ewha Womans University, Seoul, South Korea.
FAU - Shim, Ji E
AU  - Shim JE
AD  - Department of Obstetrics and Gynecology, Robot Surgery Center, College of 
      Medicine, Ewha Womans University, Seoul, South Korea.
FAU - Lee, Sa R
AU  - Lee SR
AD  - Department of Obstetrics and Gynecology, Robot Surgery Center, College of 
      Medicine, Ewha Womans University, Seoul, South Korea.
FAU - Jeong, Kyungah
AU  - Jeong K
AD  - Department of Obstetrics and Gynecology, Robot Surgery Center, College of 
      Medicine, Ewha Womans University, Seoul, South Korea.
FAU - Moon, Hye-Sung
AU  - Moon HS
AD  - Department of Obstetrics and Gynecology, Robot Surgery Center, College of 
      Medicine, Ewha Womans University, Seoul, South Korea.
LA  - eng
PT  - Journal Article
DEP - 20200719
PL  - Australia
TA  - J Obstet Gynaecol Res
JT  - The journal of obstetrics and gynaecology research
JID - 9612761
SB  - IM
MH  - Adult
MH  - Female
MH  - *Genital Diseases, Female/surgery
MH  - Gynecologic Surgical Procedures
MH  - Humans
MH  - *Laparoscopy
MH  - Learning Curve
MH  - Middle Aged
MH  - Operative Time
MH  - Retrospective Studies
MH  - *Robotic Surgical Procedures
OTO - NOTNLM
OT  - feasibility
OT  - gynecology
OT  - robotic single-site surgery
EDAT- 2020/07/21 06:00
MHDA- 2021/06/22 06:00
CRDT- 2020/07/21 06:00
PHST- 2020/03/03 00:00 [received]
PHST- 2020/05/21 00:00 [revised]
PHST- 2020/06/11 00:00 [accepted]
PHST- 2020/07/21 06:00 [pubmed]
PHST- 2021/06/22 06:00 [medline]
PHST- 2020/07/21 06:00 [entrez]
AID - 10.1111/jog.14372 [doi]
PST - ppublish
SO  - J Obstet Gynaecol Res. 2020 Sep;46(9):1885-1892. doi: 10.1111/jog.14372. Epub 
      2020 Jul 19.