Surgical efficiency for gynecological surgery with a single robotic console: the value of the surgical team and robotic technology in maximizing efficiency on intensive surgical days: a comprehensive analysis.

To evaluate the surgical efficiency based on the number of daily procedures by analyzing various time components of the surgical process. This retrospective study examined 108 robot-assisted gynecologic surgeries conducted using the Da Vinci Xi surgical system in a private hospital in Greece from 2021 to 2024. The data were categorized into five case-day groups according to the number of surgeries performed each day, and the timing of several different steps was recorded. Statistical analyses, including ANOVA and correlation heatmaps, were employed. A significant difference was found in the time required for undocking, lavage, and hemostasis (F = 4.0, p < 0.01), with the six-case group experiencing the longest duration (21.9 ± 9.5 min). No significant differences were observed in total case duration across different case volume groups; however, a trend indicated a decrease in duration from the dual-case group (16.6 ± 2.8 min) to the six-case volume group (13.7 ± 2.7 min). The four-case group demonstrated the highest efficiency ratio (0.81), while the six-case group showed a slightly lower ratio (0.76). Additionally, there was a strong positive correlation (Pearson's r = 0.99) between surgery duration and patient docked time. The first surgery of the day (S1) had the longest duration, whereas procedures performed in the middle of the day were more consistent. Robotic surgery is feasible and efficient, whether the day is intensive or relatively easy. We can greatly increase efficiency by standardizing the preparation processes and improving the time taken to dock and undock.