Robotic Single-Incision Laparoscopic Surgery for the Management of Endometriosis: First Experience Via the Da Vinci SP Platform

IF 2.1 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2026-03-29 DOI:10.1002/rcs.70157

Qiannan Yang, Daniel Y. Lovell, Xiaoming Guan

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引用次数: 0

Abstract

Objective

To demonstrate the feasibility and mid-term outcomes of Robotic single-port single-incision laparoscopic surgery (RSP-SILS) for endometriosis management.

Methods

A retrospective analysis was conducted on 50 adult women with endometriosis who underwent RSP-SILS via the da Vinci SP platform between November 2023 and July 2025.

Results

Median total operative time was 142 min, robot dock time was 3 min, and robot console time was 99 min. Median estimated blood loss was 25 mL. No conversion occurred. Reported mid-term outcomes included 1 case each of pelvic haematoma, Clostridioides difficile colitis, and umbilical surgical site infection, as well as 3 cases of recurrent pelvic pain. Additionally, learning curve analysis demonstrated that robotic docking time stabilised after approximately 18 cases, suggesting progressive technical familiarisation with the RSP-SILS platform.

Conclusion

Our findings suggest that the use of RSP-SILS is a feasible and effective minimally invasive approach for performing complex procedures, specifically for endometriosis management.

Abstract Image

查看原文本刊更多论文

机器人单切口腹腔镜手术治疗子宫内膜异位症：通过达芬奇SP平台的首次体验。

目的：探讨机器人单孔单切口腹腔镜手术（RSP-SILS）治疗子宫内膜异位症的可行性及中期疗效。方法：回顾性分析2023年11月至2025年7月期间50例子宫内膜异位症成年女性经达芬奇SP平台行RSP-SILS手术的病例。结果：中位总手术时间为142 min，机器人停靠时间为3 min，机器人控制台时间为99 min。中位估计失血量为25ml，未发生转化。报告的中期结局包括盆腔血肿、艰难梭菌性结肠炎和脐手术部位感染各1例，复发性盆腔疼痛3例。此外，学习曲线分析表明，机器人对接时间在大约18次后稳定下来，这表明对RSP-SILS平台的技术逐渐熟悉。结论：我们的研究结果表明，使用RSP-SILS是一种可行和有效的微创方法来执行复杂的手术，特别是子宫内膜异位症的治疗。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.