Minimally Invasive Therapy & Allied Technologies最新文献

{"title":"The impact of embolization endpoints on the efficacy of uterine artery embolization for adenomyosis.","authors":"Liang Yin, Xingwei Sun, Meijin Wu, Mingqing Zhang, Jian Jing, Xuming Bai, Yong Jin","doi":"10.1080/13645706.2025.2531204","DOIUrl":"10.1080/13645706.2025.2531204","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess how embolization endpoints affect the efficacy of uterine artery embolization (UAE) for adenomyosis.</p><p><strong>Methods: </strong>In this single-center retrospective cohort study, patients treated with UAE from 2014-2018 received the standard embolization endpoint (SEE), while those from 2019-2022 received the delayed embolization endpoint (DEE). Clinical outcomes, including embolic microsphere volume, uterine volume, CA125 levels, hemoglobin, menstrual flow, dysmenorrhea, and postoperative complications, were compared between the groups.</p><p><strong>Results: </strong>At six months post-procedure, all patients showed significant improvement in clinical indicators (p < 0.01). Group DEE used significantly more embolic microspheres than Group SEE (p < 0.01) and achieved greater reductions in CA125, menstrual volume, and dysmenorrhea (p < 0.05). There were no significant differences in postoperative uterine volume, hemoglobin, or complication rates between the groups (p > 0.05).</p><p><strong>Conclusions: </strong>UAE is a safe and effective treatment for adenomyosis. Compared to the standard approach, the delayed embolization endpoint provides superior symptom relief and warrants broader clinical adoption.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"406-415"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new biodegradable glue for the digestive tract - the gummy bear degradation study.","authors":"Anna Wiebe, Wolfram Lamadé, Jonas Apitzsch","doi":"10.1080/13645706.2025.2566821","DOIUrl":"https://doi.org/10.1080/13645706.2025.2566821","url":null,"abstract":"<p><strong>Background: </strong>An ideal adhesive for gastrointestinal use should be flexible, transparent, biodegradable, and resistant to gastric acid and pancreatic enzymes. Traditional gelatin-based gummy bears are flexible, transparent, and biodegradable but dissolve quickly. The novel polyurethane-based adhesive VIVO 120^™ mimics these properties but resists digestive fluids, making it a promising candidate for gastric and pancreatic applications.</p><p><strong>Methods: </strong>The polyurethane-based adhesive VIVO 120^™ was evaluated over 21 days under various conditions (water, acetic acid, pancreatic enzyme solution) at room temperature. Gelatin, fat and fibrin glue served as controls. The adhesive's behavior was monitored using computed tomography (CT) to track physical changes, and macroscopic evaluations were performed at the conclusion of the study to assess any alterations in structure and weight. Additionally, the handling of VIVO 120^™ for sealing pancreatic anastomoses was tested in porcine cadavers.</p><p><strong>Results: </strong>Over the 21-day period, the VIVO 120^™ samples exhibited significant swelling, with a length increase of 32% in pancreatic enzyme solutions and 51-58% in water and acetic acid. Weight gain reached 179% in water, 226% in acetic acid, and 135% in pancreatic enzymes. Despite these changes, the adhesive maintained its structural integrity. CT imaging showed that the majority of swelling occurred within the first 24 h. No leaching of components into the surrounding fluids was detected. In porcine cadavers, the adhesive demonstrated good handling properties and remained transparent after curing, allowing visual inspection of the anastomosis. Burst pressure tests demonstrated sealing effectiveness up to 40 mmHg. Minor intraluminal detachment was observed under pressure.</p><p><strong>Conclusions: </strong>VIVO 120^™ demonstrates strong resistance to acidic and enzymatic degradation while offering flexibility, transparency, and good usability. This suggests its potential as a tissue adhesive in gastric and pancreatic surgery. However, its tendency for swelling must be considered, particularly in applications involving confined spaces.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pre-clinical application study of the SATA-LRS laparoscopic instrument in a human cadaver model.","authors":"Tomas Lenssen, Roelf R Postema, Christian Camenzuli, Jean Calleja-Agius, Jenny Dankelman, Tim Horeman-Franse","doi":"10.1080/13645706.2025.2554077","DOIUrl":"10.1080/13645706.2025.2554077","url":null,"abstract":"<p><strong>Background: </strong>To validate whether the SATA-LRS, a novel reusable articulating laparoscopic instrument, fits surgical practice, a pre-clinical study was performed.</p><p><strong>Methods: </strong>Thirteen medical doctors used the instrument in a laparoscopic endoscopic inguinal hernia repair (TEP)-like task inside a cadaver. A set of sensors on the instrument handle detected motion and articulation of the instrument tip. Data from the sensors and video recordings were used to assess the amount and type of movement of the instrument and the time spent on tasks. questionnaire was used to gain insight into the participants' perception of the contextual factors.</p><p><strong>Results: </strong>There was no difference between task time and instrument tip velocities when using articulation (or not) and all participants used articulation at least half of the task time. Instrument-handle movement, indicating the user's hand and arm movement, was significantly reduced when using articulation. The questionnaire indicated strong acceptance of the instrument and the experimental setup, and a desire to use the instrument in surgery by most participants.</p><p><strong>Conclusions: </strong>The added articulation feature of the SATA-LRS instrument was deemed beneficial by the participants, showed no increased handling complexity or time spent on the task and was used frequently when enabled, indicating intuitiveness.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Full retroperitoneoscopic radical nephroureterectomy with intracorporeal, extravesical bladder cuff excision - surgical technique and early outcomes.","authors":"Alessandro Marquis, Francesco Soria, Marco Oderda, Daniele Dutto, Fulvia Colucci, Federico Lavagno, Livoti Simone, Matteo Rosazza, Marco Allasia, Paolo Destefanis, Beatrice Lillaz, Paolo Gontero","doi":"10.1080/13645706.2025.2555427","DOIUrl":"https://doi.org/10.1080/13645706.2025.2555427","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to illustrate the technique of our full retroperitoneoscopic radical nephroureterectomy (frRNU) involving an intracorporeal, extravesical bladder cuff excision (BCE) and assess its safety and early oncological outcomes.</p><p><strong>Methods: </strong>Between June 2020 and November 2023, 27 patients underwent frRNU for upper tract urothelial carcinoma. Surgical and oncological outcomes were assessed.</p><p><strong>Results: </strong>Two (7%) patients were converted to open distal ureterectomy due to extensive fibrosis of the iliac ureter. Lymph node dissection (LND) was performed in 85% of procedures. Median operative time and blood losses were 230 (IQR: 188, 255) minutes and 125 (IQR: 100, 150) mL, respectively. Complication rate was 33%, with only two (7%) Clavien Dindo ≥ 3 complications and two (7%) patients experienced urinary fistula. Catheter was removed after six (IQR: 5, 7) days. All patients had negative surgical margins and three (11%) were pN+, with 6.5 (IQR: 3, 14) nodes removed. At a median follow-up of 11 (IQR: 3, 25) months, four (15%) patients had bladder recurrence, while no retroperitoneal recurrence occurred.</p><p><strong>Conclusions: </strong>Our frRNU is feasible and safe, allowing for appropriate BCE and LND. Surgical outcomes are optimal, complication rate acceptable and short-term oncological outcomes promising.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":2.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative study of proficiency improvement in ArtiSential^® according to conventional laparoscopic surgery experiences.","authors":"Seoung Yoon Rho, Munseok Choi, Sung Hyun Kim, Seung Soo Hong, Hyoung-Il Kim, Yoo-Young Lee, Brian Goh Kim Poh, Yuichi Nagakawa, Minoru Tanabe, Daisuke Asano, Chang Moo Kang","doi":"10.1080/13645706.2025.2557598","DOIUrl":"https://doi.org/10.1080/13645706.2025.2557598","url":null,"abstract":"<p><strong>Background: </strong>This pilot study investigates the adaptability of the articulating instrument (ArtiSential) among surgeons with different levels of experience in conventional laparoscopic surgery.</p><p><strong>Methods: </strong>From June to November 2023, 18 laparoscopic surgeons participated in peg transfer and suture training using ArtiSential instruments. Participants were categorized into novice, intermediate, and expert groups. Peg transfer was repeated three times, comparing dominant and non-dominant hand. Suture training was conducted at four directional positions (1, 12, 3, and 5 o'clock) and analyzed across three trials.</p><p><strong>Results: </strong>In terms of peg transfer timing analysis, there are significant differences between the three groups in the first (<i>p</i> < 0.001) and second trials (<i>p</i> = 0.011). However, in the third trial, the gap between the three groups decreased. In all three groups, the suture times at 3 o'clock and 5 o'clock were consistently lower compared to the 1 o'clock and 12 o'clock directions. As the trials progressed, the time decreased for suturing in all directions. Among them, the novice group had reduced suture times at 3 o'clock and 5 o'clock direction.</p><p><strong>Conclusions: </strong>The ArtiSential instrument is adaptable even for novices. Its articulating features facilitate suturing in traditionally difficult directions (3 o'clock and 5 o'clock) for right-handed users.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"T-shaped functional end-to-end anastomosis as an alternative method for esophagojejunostomy after totally laparoscopic total gastrectomy for gastric cancer.","authors":"Vo Duy Long, Tran Quang Dat, Dang Quang Thong, Doan Thuy Nguyen, Tran Minh Vu, Nguyen Viet Hai, Nguyen Hoang Bac","doi":"10.1080/13645706.2025.2556883","DOIUrl":"https://doi.org/10.1080/13645706.2025.2556883","url":null,"abstract":"<p><strong>Background: </strong>Functional end-to-end anastomosis (FEEA) and the overlap methods for reconstruction after totally laparoscopic total gastrectomy (TLTG) pose technical challenges. We developed a modified T-shaped FEEA to facilitate the procedure. This study aimed to evaluate the short- and long-term outcomes of the modified T-shaped FEEA compared to the overlap method following TLTG for gastric cancer (GC).</p><p><strong>Method: </strong>This cohort study enrolled 114 patients with middle- or upper-third GC who underwent TLTG with linear stapler for reconstruction between August 2015 and October 2020. Outcomes analyzed included operative characteristics, postoperative complications, one-year nutritional status, and long-term survival. Propensity score-matched (PSM) was applied to adjust for baseline differences between groups.</p><p><strong>Results: </strong>After PSM, 27 patients were included in each group. No significant differences were found between the two groups in terms of early surgical outcomes, including operating time, time of first flatus, overall morbidities and mortality, and postoperative hospital stays. However, the modified T-shaped FEEA group had a significantly shorter anastomosis time (37.2 vs. 50.7 min, <i>p</i> = 0.005). Changes in body weight, hemoglobin, and albumin levels one-year postoperatively were comparable. Similarly, there was no significant difference in five-year overall survival and disease-free survival between the two groups (60% vs. 53% and 49% vs. 40%, respectively).</p><p><strong>Conclusions: </strong>The modified T-shaped FEEA method offers a viable alternative to the overlap method for reconstruction after TLTG for GC, with shorter anastomosis time and comparable surgical and long-term outcomes.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of transcervical resection of polyp combined with levonorgestrel-releasing intrauterine system in the treatment of endometrial polyps: a randomized controlled trial.","authors":"Yu-Jie Zhang, Xiao-Dong Wang, Mei Shan, Qing-Ling Lu, Ting-Ting Tian","doi":"10.1080/13645706.2025.2542329","DOIUrl":"https://doi.org/10.1080/13645706.2025.2542329","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to compare the clinical efficacy and prognosis of transcervical resection of polyp (TCRP) combined with levonorgestrel-releasing intrauterine system (LNG-IUS) or oral desogestrel and ethinyl estradiol tablets (DET) in patients with endometrial polyps (EMP).</p><p><strong>Methods: </strong>A total of 100 EMP patients undergoing TCRP were divided into LNG-IUS (<i>n</i> = 50) and DET (<i>n</i> = 50) groups. Hemoglobin, endometrial thickness, FSH, E2, and LH levels were monitored pre-surgery and post-surgery. Clinical symptom improvement, adverse reactions, and recurrence rates were assessed over 12 months.</p><p><strong>Results: </strong>Both treatments improved hemoglobin levels and reduced endometrial thickness, but the LNG-IUS group showed superior outcomes. At 12 months, it achieved higher improvement rates for dysmenorrhea (72.0% vs. 34.0%), abnormal cycles (60.0% vs. 24.0%), and blood loss (52.0% vs. 30.0%), with fewer adverse reactions (4.0% vs. 24.0%) and a lower recurrence rate (0% vs. 16.0%, all <i>p</i> < .05).</p><p><strong>Conclusions: </strong>LNG-IUS with TCRP outperformed DET in reducing endometrial thickness, alleviating symptoms, lowering side effects, and preventing recurrence in EMP.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144960738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protocol for CLASSICA software as medical device trial.","authors":"P A Boland, P D McEntee, J Cucek, S Erzen, E Niemiec, M Galligan, T Petropoulou, J B Burke, J Knol, R Hompes, J Tuynman, F Aigner, A Arezzo, R A Cahill","doi":"10.1080/13645706.2025.2540482","DOIUrl":"10.1080/13645706.2025.2540482","url":null,"abstract":"<p><strong>Background: </strong>Contemporary methods for detecting cancer in significant rectal neoplasia before transanal excision are suboptimal. Fluorescence angiography (FA) coupled with artificial intelligence (AI) classification methods may add value. This regulated clinical trial stage of the CLASSICA Project will validate the concept using software as medical device.</p><p><strong>Methods/design: </strong>This multi-centre prospective study will validate a real-time AI-driven FA method for the digital detection of rectal cancer in-situ and endoscopic biopsy guidance. Traditional endoscopic biopsies and excision specimen pathology are the comparative standard aiming to enrol up to 127 patients from seven surgical cancer centres across five countries with trans-European data sharing protocols balancing General Data Protection Regulation (GDPR), Good Clinical Practice (GCP) and adherence to FAIR principles.</p><p><strong>Discussion: </strong>This CLASSICA phase builds on prior prospective multi-centre and multidisciplinary collaboration that has already recruited 130 patients demonstrating patient and physician capability for the fundamental technique and enlarging the prior training dataset (n = 200 FA videos). Alongside the development of a secure, online data-sharing platform and clinical-grade medical device software, trial protocols have begun institutional approval processes aiming to determine accuracy and further optimisation.</p><p><strong>Trial details and registration: </strong>The CLASSICA Project is registered with ClinicalTrials.gov [NCT05793554] and is funded by Horizon Europe [Project No.101057321]. CLASSICAPROJECT.EU.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-6"},"PeriodicalIF":2.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144960789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study of a non-water-cooled microwave ablation needle based on a vacuum needle rod to achieve carbonization-free operation: design, simulation, and experimental research.","authors":"Wei Wei, Chen Li, Weitao Li, Mengwei Jiang, Xiao Zhang, Lidong Xing, Zhiyu Qian, Xiaofei Jin","doi":"10.1080/13645706.2025.2543894","DOIUrl":"https://doi.org/10.1080/13645706.2025.2543894","url":null,"abstract":"<p><strong>Background: </strong>At present, the microwave ablation needle used in clinic needs to add water circulation in the needle rod to reduce the rod temperature. However, the water circulation will take away a lot of heat during the ablation process, which requires increasing the ablation dose to achieve the expected thermal coagulation target volume. This undoubtedly increases the risk of carbonization.</p><p><strong>Methods: </strong>A design scheme of non-water-cooled microwave ablation needle based on double-layer vacuum structure was proposed. Two types of non-water-cooled microwave ablation needles with long and short needles were designed, and the ablation simulation was carried out by establishing the finite element simulation model.</p><p><strong>Results: </strong>Simulation and experimental results indicate that, at 20 W power, the long-needle vacuum tube ablation needle can create a carbonization-free solidification zone with a length of 34 mm after 180 s of ablation, whereas the short-needle vacuum tube ablation needle requires 300 s to form a similar zone with a length of 30 mm. Additionally, the axial ratio of the solidification zone created by the long-needle vacuum tube ablation needle exceeds that of the short-needle one. Consequently, the long-needle vacuum tube ablation needle is more apt for creating a larger solidification zone with minimal carbonization, while also achieving a more spherical shape.By comparing the ablation effects of long needle vacuum tube ablation needle and ky-2450b1 under low power,It is verified that the vacuum tube non-water-cooled ablation needle can ensure the effective ablation volume and non carbonization ablation under low-power and short-time ablation, which provides an important technical scheme for clinical optimization of the therapeutic effect of microwave ablation.</p><p><strong>Conclusions: </strong>The LPH-W-F-MWA is more adept at creating a larger coagulation zone with minimal carbonization, achieving a more spherical shape to a greater extent. This ensures both an effective ablation volume and char-free ablation, offering a crucial technical solution for optimizing the therapeutic effect of MWA in clinical settings.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility, safety, and efficacy of robotic single-port hysterectomy (R-SPH) using the da Vinci SP system in low-risk endometrial cancer: a pilot study.","authors":"Riccardo Vizza, Giacomo Corrado, Emanuela Mancini, Ermelinda Baiocco, Mario Russo, Cristina Vincenzoni, Valentina Bruno, Henrik Falconer, Enrico Vizza","doi":"10.1080/13645706.2025.2538764","DOIUrl":"https://doi.org/10.1080/13645706.2025.2538764","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to evaluate the feasibility, safety, and efficacy of robotic single-port hysterectomy (R-SPH) with the da Vinci SP in low-risk endometrial cancer.</p><p><strong>Methods: </strong>Patients with clinically confirmed endometrioid endometrial cancer, FIGO stages IA-IB, were enrolled for R-SPH. All surgical procedures were performed through a single 2.5 cm umbilical incision. An Intuitive Access Port of small size was placed into the incision, and pneumoperitoneum was established. Robotic instruments were inserted as described below through the Intuitive Access Port, which has four different channel ports: in the superior channel, a three-dimensional 8.5 mm optics; in channel 1, Cadiere Forceps; in channel 2, a Maryland Bipolar; and in channel 3, monopolar scissors.</p><p><strong>Results: </strong>From June 24 to November 13, 2024, a total of 25 patients were included in the study. The median age was 61 years, and median BMI was 25.9 kg/m². The median docking time, console time, and total operative time were 10, 65, and 115 min, respectively. The median blood loss was 67.0 mL, and the median hemoglobin drop was 1.2 g/dL.</p><p><strong>Conclusions: </strong>R-SPH seems safe and feasible in endometrial cancer. The true benefit of the technique should be sought in larger comparative studies. ClinicalTrials.gov Protocol Record: NCT06681831.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":2.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}