Robotic and conventional laparoendoscopic single-site hysterectomy safe and feasible for large uterus: Study

This retrospective study included patients with uterine weights more than 280 g who had transumbilical single-site hysterectomy, with or without da Vinci Xi system, performed between May 2021 and September 2023 were included in the study. Perioperative outcomes were assessed between the two groups following propensity score matching to equalize the baseline characteristics.

Each group consisted of 74 patients after a 1:1 propensity score match. No patient needed more ports, a multi-port laparoscopy, or a conversion to a laparotomy. The robotic group had a considerably reduced postoperative complication rate (4.1 % vs 13.5%) and a significantly longer exhaust time (2.4 ± 0.7 vs 2.0 ± 0.7 days) when compared to the conventional group.

Even though the robotic group had bigger uterine weights (412.5 vs 394.0 g) and a greater percentage of severe adhesion (33.8 % vs 17.6 %), there were no significant differences in operating time (183.6 ± 53.6 vs 178.2 ± 55.4 min), blood loss (100.0 vs 50.0 mL), or intraoperative complications (1.4% vs 0%). Overall, for large uteruses, both robotic and traditional laparoendoscopic single-site hysterectomy were safe, practical, and produced satisfactory surgical results.

Reference:

Chen, Y., Zheng, Y., Yang, F., Wang, Q., Liu, J., Chen, S., & Yang, X. (2025). Comparison of robotic and conventional laparoendoscopic single-site hysterectomy for large uterus using da Vinci Xi system: A propensity score matching analysis. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 307, 252–257. https://doi.org/10.1016/j.ejogrb.2025.02.036