{"paper_id":"7fa07ff4-00f7-4ecc-8668-0a08ba42c708","body_text":"Abstract\nAlthough robotic single-site (RSS) surgery employing cross setup of semirigid instruments allows effective triangulation of instruments, it has some limitations in performing RSS transabdominal and transvaginal surgeries. We introduced the robotic glove port technique (RGPT) using parallel setup of endowristed rigid instruments in performing RSS transabdominal surgery and transvaginal surgery in July of 2017. Thirty-five patients underwent RSS surgery with RGPT. Twenty-one patients had RSS transabdominal reconstructive or fertility-preserving surgeries such as myomectomy (12 patients), adenomyomectomy (3 patients), and ovarian endometriosis cystectomy (6 patients). Fourteen patients underwent robotic transvaginal surgery for natural orifice transluminal endoscopic surgery (NOTES) hysterectomy. All procedures were successfully performed, and no postoperative complications were observed. In all patients, the median total operative time, console time, and docking time were 160 min (range 106–240), 120 min (range 65–180), and 10 min (range 4–25), respectively. There was no conversion to another type of surgery, such as conventional laparoscopy, laparotomy, or traditional multiport robotic surgery. The findings showed that RSS surgery via the RGPT is safe and feasible, using the parallel setup of endowristed rigid instruments is easily performed on transvaginal routes and transabdominal routes. Therefore, this procedure may be an important complement to gynecologic surgeons’ armamentarium in the field of robotic reconstructive or fertility-preserving surgeries such as myomectomy, adenomyomectomy, ovarian cystectomy, and transvaginal surgery for NOTES hysterectomy. 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J Minim Invas Gynecol 24:258–263\nAcknowledgements\nThe authors have no commercial, proprietary, or financial interest in the products or companies described in this article.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEthics declarations\nFunding\nNo additional funding was received for this study.\nEthical approval\nThe study protocol was reviewed and approved by the institutional review board at Eulji University Hospital in 2018 (reference number 2018-11-025).\nConflict of interest\nDr. Yang has no conflicts of interest or financial ties to disclose.\nAdditional information\nPublisher's Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nRights and permissions\nAbout this article\nCite this article\nYang, Y.S. Robotic glove port technique for the endowristed rigid instruments in robotic single-site transabdominal and transvaginal surgery. J Robotic Surg 15, 241–249 (2021). https://doi.org/10.1007/s11701-020-01093-4\nReceived:\nAccepted:\nPublished:\nVersion of record:\nIssue date:\nDOI: https://doi.org/10.1007/s11701-020-01093-4","source_license":"public-domain-us","license_restricted":false}