Application of robotic single-site surgery with optional additional port for endometriosis: a single institution’s experience

Yi Huang, Kristina Duan, Tamisa Koythong, Ninad M Patil, Ninad Patil, Dazhi Fan, Juan Liu, Zhenkun Guan, Xiaoming Guan
Journal of robotic surgery · 2021 · vol. 16(1) , pp. 127–135 · doi:10.1007/s11701-021-01217-4 · PMID:33651315 · W3133696030
article OA: closed CC0 ⤵ 12 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Robotic single-site surgery, with optional additional ports for complex cases, was found to be a safe and feasible approach for treating all stages of endometriosis, requiring minimal hospital stays and having a low complication rate.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective single-institution chart review evaluated the safety and feasibility of robotic single-site surgery (RSSS) for stage I–IV endometriosis in 334 patients treated by one surgeon (2015–2019), with all patients undergoing pelvic pain–associated lesion resection and staging using ASRM criteria. RSSS was completed without conversion to laparotomy or conventional laparoscopy, and one to two additional ports were placed in 41 patients with deeply infiltrating endometriosis involving colorectal/urinary tract and/or extensive adhesions; histopathology confirmed diagnosis in 259/334, with undiagnosed cases having lower ASRM scores. Median operating time was 140.25 minutes and median blood loss was 31.25 mL, postoperative complication rate was 6.0% with only two severe cases, and most patients had hospital stay under 24 hours, though this paper explicitly notes feasibility/safety without a comparative design. This paper is centrally about endometriosis — specifically assessing robotic single-site surgery (with possible additional ports) for surgical treatment across ASRM stages I–IV.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Laparoscopy Laparoscopy Robotic Surgical Procedures Robotic Surgical Procedures Female Humans Hysterectomy Hysterectomy Retrospective Studies Treatment Outcome

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License: CC0 · commercial use OK