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Jung Hun Lee - One of the best experts on this subject based on the ideXlab platform.
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robotic single port surgery using the da vinci sp surgical system for benign Gynecologic Disease a preliminary report
Taiwanese Journal of Obstetrics & Gynecology, 2020Co-Authors: Hyun Joo Shin, Jung Hun Lee, Hae Kyung Yoo, Sa Ra Lee, Kyungah Jeong, Hyesung MoonAbstract:Abstract Objective We aimed to present our initial experience with robotic single-port surgery performed using the da Vinci® SP surgical system for benign Gynecologic Diseases. Materials and methods This retrospective cohort study was performed at an academic tertiary care hospital From December 2018 to January 2019. Thirty-one women with benign Gynecologic Diseases underwent robotic single-port surgery performed using the da Vinci® SP surgical system. Results During the study period, hysterectomy, myomectomy, adnexectomy, and sacrocolpopexy were performed in seven, twelve, five, and seven women, respectively. The mean age and body mass index of patients, respectively, were 47.7 ± 12.8 years and 22.7 ± 3.1 kg/m2. In terms of operative outcomes, the mean docking time, operating time, estimated blood loss, and hospitalization time were 2.2 ± 2.1 min, 126.3 ± 61.6 min, 93.9 ± 76.9 mL, and 4.6 ± 0.7 days. There was no laparoconversion or major complication. Conclusion Robotic single-port laparoscopy using the da Vinci® SP surgical system might be a suitable alternative surgical technique for various benign Gynecologic Diseases. However, further studies are required to clarify the feasibility and safety of the application of this novel robot surgical system.
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1542 robotic single port laparoscopy using the da vinci sp surgical system for benign Gynecologic Disease preliminary report
Journal of Minimally Invasive Gynecology, 2019Co-Authors: Hye Jung Shin, Jung Hun Lee, Hae Kyung Yoo, Sa Ra Lee, Kyungah Jeong, Hyesung MoonAbstract:Study Objective To report our initial experience of robotic single port laparoscopy using the da Vinci SP® surgical system for benign Gynecologic Diseases. Design Retrospective cohort study. Setting Academic tertiary care hospital. Patients or Participants 31 women with benign Gynecologic Diseases. Interventions Robotic single port laparoscopy. Measurements and Main Results From December to January 2019, hysterectomy, myomectomy, adnexectomy, and sacrocolpopexy were performed in 7, 12, 5, and 7 women, respectively. The mean age and body mass index of patients were 47.7±12.8 years and 22.7±3.1 kg/m2. In terms of operative outcomes, the mean docking time, operating time, estimated blood loss, and hospitalization were 2.2±2.1 minutes, 126.3±61.6 minutes, 93.9±76.9 mL, and 4.6±0.7 days. There was no laparoconversion or major complication. Conclusion Robotic single port laparoscopy using the da Vinci SP surgical system might be an alternative surgical technique for various benign Gynecologic Diseases However, further studies are required to clarify the feasibility and safety of the new robot surgical system.
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quality of life after single port laparoscopic surgery versus conventional laparoscopic surgery for benign Gynecologic Disease
Surgical Endoscopy and Other Interventional Techniques, 2015Co-Authors: Jeong Min Eom, Kye Hyun Kim, Jinsung Yuk, Sung Il Roh, Jung Hun LeeAbstract:The aim of current study was to determine whether single-port laparoscopic surgery (SP-LS) improves the health-related quality of life (QoL) compared with conventional laparoscopic surgery (conventional LS) in women with benign Gynecologic Disease. We performed a prospective case–control study from October 2010 to December 2012. A total of 273 women with benign Gynecologic Disease participated in this study, and 135 of them were in the SP-LS group and 138 in the conventional LS. We evaluated QoL after SP-LS or conventional LS. All patients were asked to complete short-form 36 (SF-36) QoL health surveys preoperatively and at 1, 3, and 6 months postoperatively. Clinical characteristics and operative outcomes showed no significant differences between both groups. SP-LS had no benefits in QoL compared with conventional LS in the main categories, even though SP-LS showed statistically significant higher scores than conventional LS for the role of physical domain at 1 month postoperatively and for social function at 3 months postoperatively. In contrast to this, conventional LS had statistically significant higher scores than SP-LS for role function, bodily pain, general health, vitality, and emotional well-being at 6 months postoperatively. With a 6-month follow-up, SP-LS does not offer a QoL benefit over conventional LS in women with benign Gynecologic Disease. However, a larger prospective randomized study would be required to confirm this.
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does single port laparoscopic surgery reduce postoperative pain in women with benign Gynecologic Disease
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2013Co-Authors: Jeong Min Eom, Joong Sub Choi, Won Joon Choi, Yun Hong Kim, Jung Hun LeeAbstract:Abstract Background: Reduced postoperative pain, one of the potential benefits of single-port laparoscopic surgery (SP-LS), has clinically significant importance. The objectives of this study are to compare postoperative pain between SP-LS and conventional laparoscopic surgery (conventional-LS) and to evaluate the difference in postoperative pain between the SP-LS group and the conventional-LS group based on whether a hysterectomy was performed. Subjects and Methods: We performed a prospective case-control study among women who underwent SP-LS (n=116) and conventional-LS (n=283) for benign Gynecologic Disease. We evaluated postoperative pain with a visual analog scale for pain score and the requirement for additional analgesics at 2, 4, 6, 12, 24, 48, and 72 hours after surgery. Results: The pain score was significantly lower in the SP-LS group compared with the conventional-LS group only at 2 hours after surgery (5.70±2.33 compared with 6.38±2.13, P=.005). However, at all assessment times (2, 4, 6, 12, 2...
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a comparative cross sectional study on cosmetic outcomes after single port or conventional laparoscopic surgery
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2013Co-Authors: Jeong Min Eom, Joong Sub Choi, Jin Hwa Hong, Jung Hun LeeAbstract:Abstract Objectives The primary objective was to compare cosmetic outcomes and patients’ satisfaction between women who underwent single port laparoscopic surgery (SP-LS) or conventional laparoscopic surgery (conventional-LS). The secondary objective was to evaluate the cosmetic effect of SP-LS in women with abdominal scars from prior surgeries. Study design Patients who were followed up after SP-LS or conventional-LS for Gynecologic Disease were included. Cosmetic outcome was evaluated at least six months after surgery. Objective and subjective scar analysis were performed using the Vancouver scar scale, the patient and observer scar assessment scale (POSAS), and a visual analog scale (VAS). Overall satisfaction with the surgery was evaluated with VAS. Results 130 women were included, with 65 women in each group. No difference in objective scar assessment for only umbilical scar was shown. In the subjective scar assessment and satisfaction with the surgery, SP-LS group was more satisfied. SP-LS group with abdominal scar had higher satisfaction in overall satisfaction with the scar. Conclusions SP-LS offers better cosmesis and overall patient satisfaction with surgery in women with Gynecologic Disease. SP-LS also seems to have considerable cosmetic benefit in women with abdominal scars from prior surgeries.
Jason D Wright - One of the best experts on this subject based on the ideXlab platform.
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the rapid adoption of opportunistic salpingectomy at the time of hysterectomy for benign Gynecologic Disease in the united states
American Journal of Obstetrics and Gynecology, 2020Co-Authors: Rachel S Mandelbaum, Crystal L Adams, Kosuke Yoshihara, David J Nusbaum, Shinya Matsuzaki, Kazuhide Matsushima, Maximilian Klar, Richard J Paulson, Lynda D Roman, Jason D WrightAbstract:Background Mounting evidence for the role of distal fallopian tubes in the pathogenesis of epithelial ovarian cancer has led to opportunistic salpingectomy being increasingly performed at the time of benign Gynecologic surgery. Opportunistic salpingectomy has now been recommended as best practice in the United States to reduce future risk of ovarian cancer even in low-risk women. Preliminary analyses have suggested that performance of opportunistic salpingectomy is increasing. Objective To examine trends in opportunistic salpingectomy in women undergoing benign hysterectomy and to determine how the publication of the tubal hypothesis in 2010 may have contributed to these trends. Study Design This is a population-based, retrospective, observational study examining the National Inpatient Sample between January 2001 and September 2015. Women younger than 50 years who underwent inpatient hysterectomy for benign Gynecologic Disease were grouped as hysterectomy alone vs hysterectomy with opportunistic salpingectomy. All women had ovarian conservation, and those with adnexal pathology were excluded. Linear segmented regression with log transformation was used to assess temporal trends. An interrupted time-series analysis was then used to assess the impact of the 2010 publication of the tubal hypothesis on opportunistic salpingectomy trends. A regression-tree model was constructed to examine patterns in the use of opportunistic salpingectomy. A binary logistic regression model was then fitted to identify independent characteristics associated with opportunistic salpingectomy. Sensitivity analysis was performed in women aged 50–65 years to further assess surgical trends in a wider age group. Results There were 98,061 (9.0%) women who underwent hysterectomy with opportunistic salpingectomy and 997,237 (91.0%) women who underwent hysterectomy alone without opportunistic salpingectomy. The rate at which opportunistic salpingectomy was being performed gradually increased from 2.4% to 5.7% between 2001 and 2010 (2.4-fold increase; P Conclusion Our study suggests that clinicians in the United States rapidly adopted opportunistic salpingectomy at the time of benign hysterectomy following the publication of data implicating the distal fallopian tubes in ovarian cancer pathogenesis in 2010. By 2015, nearly 60% of women had undergone opportunistic salpingectomy at benign hysterectomy.
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economic and survival implications of use of electric power morcellation for hysterectomy for presumed benign Gynecologic Disease
Journal of the National Cancer Institute, 2015Co-Authors: Jason D Wright, Rosa R Cui, Anqi Wang, Ling Chen, Ana I Tergas, William M Burke, Cande V Ananth, June Y Hou, Alfred I Neugut, Sarah M TemkinAbstract:BACKGROUND Electric power morcellation during laparoscopic hysterectomy allows some women to undergo minimally invasive surgery but may disrupt underlying occult malignancies and increase the risk of tumor dissemination. METHODS We developed a state transition Markov cohort simulation model of the risks and benefits of hysterectomy (abdominal, laparoscopic, and laparoscopic with electric power morcellation) for women with presumed benign Gynecologic Disease. The model considered perioperative morbidity, mortality, risk of cancer and dissemination, and outcomes in women with an underlying malignancy. We explored the effectiveness from a societal perspective stratified by age (<40, 40-49, 50-59, and ≥60 years). RESULTS Under all scenarios, modeled laparoscopic hysterectomy without morcellation was the most beneficial strategy. Laparoscopic hysterectomy with morcellation was associated with 80.83 more intraoperative complications, 199.64 fewer perioperative complications, and 241.80 fewer readmissions than abdominal hysterectomy per 10 000 women. Per 10 000 women younger than age 40 years, laparoscopic hysterectomy with morcellation was associated with 1.57 more cases of disseminated cancer and 0.97 fewer deaths than abdominal hysterectomy. The excess cases of disseminated cancer per 10 000 women with morcellation compared with abdominal hysterectomy increased with age to 47.54 per 10 000 in women age 60 years and older. Compared with abdominal hysterectomy, this resulted in 0.30 (age 40-49 years), 5.07 (age 50-59 years), and 18.14 (age 60 years and older) excess deaths per 10 000 women in the respective age groups. CONCLUSION Laparoscopic hysterectomy without morcellation is the most beneficial approach of the three methods of hysterectomy studied. In older women, the risks of electric power morcellation may outweigh the benefits of minimally invasive hysterectomy.
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comparative effectiveness of robotically assisted compared with laparoscopic adnexal surgery for benign Gynecologic Disease
Obstetrics & Gynecology, 2014Co-Authors: Jason D Wright, Ana I Tergas, William M Burke, Cande V Ananth, Alfred I Neugut, Alessandra Kostolias, Eri Prendergast, Scott D Ramsey, Dawn L HershmanAbstract:OBJECTIVE:To perform a population-based analysis to compare the complications and cost of laparoscopic and robotically assisted adnexal surgery.METHODS:A nationwide database was used to analyze the use and outcomes of robotically assisted adnexal surgery from 2009 to 2012. Multivariable mixed effect
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robotically assisted vs laparoscopic hysterectomy among women with benign Gynecologic Disease
Obstetrical & Gynecological Survey, 2013Co-Authors: Jason D Wright, William M Burke, Cande V Ananth, Alfred I Neugut, Sharyn N Lewin, Thomas J Herzog, Dawn L HershmanAbstract:Importance Although robotically assisted hysterectomy for benign Gynecologic conditions has been reported, little is known about the incorporation of the procedure into practice, its complication profile, or its costs compared with other routes of hysterectomy. Objectives To analyze the uptake of robotically assisted hysterectomy, to determine the association between use of robotic surgery and rates of abdominal and laparoscopic hysterectomy, and to compare the in-house complications of robotically assisted hysterectomy vs abdominal and laparoscopic procedures. Design, Setting, and Patients Cohort study of 264 758 women who underwent hysterectomy for benign Gynecologic disorders at 441 hospitals across the United States from 2007 to 2010. Main Outcome Measures Uptake of and factors associated with utilization of robotically assisted hysterectomy. Complications, transfusion, reoperation, length of stay, death, and cost for women who underwent robotic hysterectomy compared with both abdominal and laparoscopic procedures were analyzed. Results Use of robotically assisted hysterectomy increased from 0.5% in 2007 to 9.5% of all hysterectomies in 2010. During the same time period, laparoscopic hysterectomy rates increased from 24.3% to 30.5%. Three years after the first robotic procedure at hospitals where robotically assisted hysterectomy was performed, robotically assisted hysterectomy accounted for 22.4% of all hysterectomies. The rates of abdominal hysterectomy decreased both in hospitals where robotic-assisted hysterectomy was performed as well as in those where it was not performed. In a propensity score–matched analysis, the overall complication rates were similar for robotic-assisted and laparoscopic hysterectomy (5.5% vs 5.3%; relative risk [RR], 1.03; 95% CI, 0.86-1.24). Although patients who underwent a robotic-assisted hysterectomy were less likely to have a length of stay longer than 2 days (19.6% vs 24.9%; RR, 0.78, 95% CI, 0.67-0.92), transfusion requirements (1.4% vs 1.8%; RR, 0.80; 95% CI, 0.55-1.16) and the rate of discharge to a nursing facility (0.2% vs 0.3%; RR, 0.79; 95% CI, 0.35-1.76) were similar. Total costs associated with robotically assisted hysterectomy were $2189 (95% CI, $2030-$2349) more per case than for laparoscopic hysterectomy. Conclusions and Relevance Between 2007 and 2010, the use of robotically assisted hysterectomy for benign Gynecologic disorders increased substantially. Robotically assisted and laparoscopic hysterectomy had similar morbidity profiles, but the use of robotic technology resulted in substantially more costs.
Dawn L Hershman - One of the best experts on this subject based on the ideXlab platform.
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comparative effectiveness of robotically assisted compared with laparoscopic adnexal surgery for benign Gynecologic Disease
Obstetrics & Gynecology, 2014Co-Authors: Jason D Wright, Ana I Tergas, William M Burke, Cande V Ananth, Alfred I Neugut, Alessandra Kostolias, Eri Prendergast, Scott D Ramsey, Dawn L HershmanAbstract:OBJECTIVE:To perform a population-based analysis to compare the complications and cost of laparoscopic and robotically assisted adnexal surgery.METHODS:A nationwide database was used to analyze the use and outcomes of robotically assisted adnexal surgery from 2009 to 2012. Multivariable mixed effect
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robotically assisted vs laparoscopic hysterectomy among women with benign Gynecologic Disease
Obstetrical & Gynecological Survey, 2013Co-Authors: Jason D Wright, William M Burke, Cande V Ananth, Alfred I Neugut, Sharyn N Lewin, Thomas J Herzog, Dawn L HershmanAbstract:Importance Although robotically assisted hysterectomy for benign Gynecologic conditions has been reported, little is known about the incorporation of the procedure into practice, its complication profile, or its costs compared with other routes of hysterectomy. Objectives To analyze the uptake of robotically assisted hysterectomy, to determine the association between use of robotic surgery and rates of abdominal and laparoscopic hysterectomy, and to compare the in-house complications of robotically assisted hysterectomy vs abdominal and laparoscopic procedures. Design, Setting, and Patients Cohort study of 264 758 women who underwent hysterectomy for benign Gynecologic disorders at 441 hospitals across the United States from 2007 to 2010. Main Outcome Measures Uptake of and factors associated with utilization of robotically assisted hysterectomy. Complications, transfusion, reoperation, length of stay, death, and cost for women who underwent robotic hysterectomy compared with both abdominal and laparoscopic procedures were analyzed. Results Use of robotically assisted hysterectomy increased from 0.5% in 2007 to 9.5% of all hysterectomies in 2010. During the same time period, laparoscopic hysterectomy rates increased from 24.3% to 30.5%. Three years after the first robotic procedure at hospitals where robotically assisted hysterectomy was performed, robotically assisted hysterectomy accounted for 22.4% of all hysterectomies. The rates of abdominal hysterectomy decreased both in hospitals where robotic-assisted hysterectomy was performed as well as in those where it was not performed. In a propensity score–matched analysis, the overall complication rates were similar for robotic-assisted and laparoscopic hysterectomy (5.5% vs 5.3%; relative risk [RR], 1.03; 95% CI, 0.86-1.24). Although patients who underwent a robotic-assisted hysterectomy were less likely to have a length of stay longer than 2 days (19.6% vs 24.9%; RR, 0.78, 95% CI, 0.67-0.92), transfusion requirements (1.4% vs 1.8%; RR, 0.80; 95% CI, 0.55-1.16) and the rate of discharge to a nursing facility (0.2% vs 0.3%; RR, 0.79; 95% CI, 0.35-1.76) were similar. Total costs associated with robotically assisted hysterectomy were $2189 (95% CI, $2030-$2349) more per case than for laparoscopic hysterectomy. Conclusions and Relevance Between 2007 and 2010, the use of robotically assisted hysterectomy for benign Gynecologic disorders increased substantially. Robotically assisted and laparoscopic hysterectomy had similar morbidity profiles, but the use of robotic technology resulted in substantially more costs.
Jeong Min Eom - One of the best experts on this subject based on the ideXlab platform.
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quality of life after single port laparoscopic surgery versus conventional laparoscopic surgery for benign Gynecologic Disease
Surgical Endoscopy and Other Interventional Techniques, 2015Co-Authors: Jeong Min Eom, Kye Hyun Kim, Jinsung Yuk, Sung Il Roh, Jung Hun LeeAbstract:The aim of current study was to determine whether single-port laparoscopic surgery (SP-LS) improves the health-related quality of life (QoL) compared with conventional laparoscopic surgery (conventional LS) in women with benign Gynecologic Disease. We performed a prospective case–control study from October 2010 to December 2012. A total of 273 women with benign Gynecologic Disease participated in this study, and 135 of them were in the SP-LS group and 138 in the conventional LS. We evaluated QoL after SP-LS or conventional LS. All patients were asked to complete short-form 36 (SF-36) QoL health surveys preoperatively and at 1, 3, and 6 months postoperatively. Clinical characteristics and operative outcomes showed no significant differences between both groups. SP-LS had no benefits in QoL compared with conventional LS in the main categories, even though SP-LS showed statistically significant higher scores than conventional LS for the role of physical domain at 1 month postoperatively and for social function at 3 months postoperatively. In contrast to this, conventional LS had statistically significant higher scores than SP-LS for role function, bodily pain, general health, vitality, and emotional well-being at 6 months postoperatively. With a 6-month follow-up, SP-LS does not offer a QoL benefit over conventional LS in women with benign Gynecologic Disease. However, a larger prospective randomized study would be required to confirm this.
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does single port laparoscopic surgery reduce postoperative pain in women with benign Gynecologic Disease
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2013Co-Authors: Jeong Min Eom, Joong Sub Choi, Won Joon Choi, Yun Hong Kim, Jung Hun LeeAbstract:Abstract Background: Reduced postoperative pain, one of the potential benefits of single-port laparoscopic surgery (SP-LS), has clinically significant importance. The objectives of this study are to compare postoperative pain between SP-LS and conventional laparoscopic surgery (conventional-LS) and to evaluate the difference in postoperative pain between the SP-LS group and the conventional-LS group based on whether a hysterectomy was performed. Subjects and Methods: We performed a prospective case-control study among women who underwent SP-LS (n=116) and conventional-LS (n=283) for benign Gynecologic Disease. We evaluated postoperative pain with a visual analog scale for pain score and the requirement for additional analgesics at 2, 4, 6, 12, 24, 48, and 72 hours after surgery. Results: The pain score was significantly lower in the SP-LS group compared with the conventional-LS group only at 2 hours after surgery (5.70±2.33 compared with 6.38±2.13, P=.005). However, at all assessment times (2, 4, 6, 12, 2...
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a comparative cross sectional study on cosmetic outcomes after single port or conventional laparoscopic surgery
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2013Co-Authors: Jeong Min Eom, Joong Sub Choi, Jin Hwa Hong, Jung Hun LeeAbstract:Abstract Objectives The primary objective was to compare cosmetic outcomes and patients’ satisfaction between women who underwent single port laparoscopic surgery (SP-LS) or conventional laparoscopic surgery (conventional-LS). The secondary objective was to evaluate the cosmetic effect of SP-LS in women with abdominal scars from prior surgeries. Study design Patients who were followed up after SP-LS or conventional-LS for Gynecologic Disease were included. Cosmetic outcome was evaluated at least six months after surgery. Objective and subjective scar analysis were performed using the Vancouver scar scale, the patient and observer scar assessment scale (POSAS), and a visual analog scale (VAS). Overall satisfaction with the surgery was evaluated with VAS. Results 130 women were included, with 65 women in each group. No difference in objective scar assessment for only umbilical scar was shown. In the subjective scar assessment and satisfaction with the surgery, SP-LS group was more satisfied. SP-LS group with abdominal scar had higher satisfaction in overall satisfaction with the scar. Conclusions SP-LS offers better cosmesis and overall patient satisfaction with surgery in women with Gynecologic Disease. SP-LS also seems to have considerable cosmetic benefit in women with abdominal scars from prior surgeries.
Hyesung Moon - One of the best experts on this subject based on the ideXlab platform.
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robotic single port surgery using the da vinci sp surgical system for benign Gynecologic Disease a preliminary report
Taiwanese Journal of Obstetrics & Gynecology, 2020Co-Authors: Hyun Joo Shin, Jung Hun Lee, Hae Kyung Yoo, Sa Ra Lee, Kyungah Jeong, Hyesung MoonAbstract:Abstract Objective We aimed to present our initial experience with robotic single-port surgery performed using the da Vinci® SP surgical system for benign Gynecologic Diseases. Materials and methods This retrospective cohort study was performed at an academic tertiary care hospital From December 2018 to January 2019. Thirty-one women with benign Gynecologic Diseases underwent robotic single-port surgery performed using the da Vinci® SP surgical system. Results During the study period, hysterectomy, myomectomy, adnexectomy, and sacrocolpopexy were performed in seven, twelve, five, and seven women, respectively. The mean age and body mass index of patients, respectively, were 47.7 ± 12.8 years and 22.7 ± 3.1 kg/m2. In terms of operative outcomes, the mean docking time, operating time, estimated blood loss, and hospitalization time were 2.2 ± 2.1 min, 126.3 ± 61.6 min, 93.9 ± 76.9 mL, and 4.6 ± 0.7 days. There was no laparoconversion or major complication. Conclusion Robotic single-port laparoscopy using the da Vinci® SP surgical system might be a suitable alternative surgical technique for various benign Gynecologic Diseases. However, further studies are required to clarify the feasibility and safety of the application of this novel robot surgical system.
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1542 robotic single port laparoscopy using the da vinci sp surgical system for benign Gynecologic Disease preliminary report
Journal of Minimally Invasive Gynecology, 2019Co-Authors: Hye Jung Shin, Jung Hun Lee, Hae Kyung Yoo, Sa Ra Lee, Kyungah Jeong, Hyesung MoonAbstract:Study Objective To report our initial experience of robotic single port laparoscopy using the da Vinci SP® surgical system for benign Gynecologic Diseases. Design Retrospective cohort study. Setting Academic tertiary care hospital. Patients or Participants 31 women with benign Gynecologic Diseases. Interventions Robotic single port laparoscopy. Measurements and Main Results From December to January 2019, hysterectomy, myomectomy, adnexectomy, and sacrocolpopexy were performed in 7, 12, 5, and 7 women, respectively. The mean age and body mass index of patients were 47.7±12.8 years and 22.7±3.1 kg/m2. In terms of operative outcomes, the mean docking time, operating time, estimated blood loss, and hospitalization were 2.2±2.1 minutes, 126.3±61.6 minutes, 93.9±76.9 mL, and 4.6±0.7 days. There was no laparoconversion or major complication. Conclusion Robotic single port laparoscopy using the da Vinci SP surgical system might be an alternative surgical technique for various benign Gynecologic Diseases However, further studies are required to clarify the feasibility and safety of the new robot surgical system.