title: Robotic single-site hysterectomy: two institutions' preliminary experience.
abstract: BACKGROUND
  To evaluate the feasibility, safety and peri- and postoperative outcomes of robotic single-site hysterectomy for gynaecological diseases.
  
  
  METHODS
  We studied 45 patients who underwent robotic single-site hysterectomy for benign and malignant disease at two institutions during May 2012-June 2013. We evaluated whether any correlation exists between BMI, patient's height, uterine size, operative time and blood loss, comparing the outcomes between the two centres.
  
  
  RESULTS
  The mean operative and console times were 134 ± 36 and 93 ± 29 min, respectively, with no significant difference between the centres (p = 0.09; p = 0.08). The mean intra-operative blood losses were 53 ± 45 and 33 ± 44 ml, respectively (p = 0.15). We observed a low rate of complications.
  
  
  CONCLUSIONS
  Robotic single-site hysterectomy is feasible and safe and allows for optimal postoperative pain control and improved cosmetic results. This technique also seems to be successful in obese patients and in patients with a large uterine size.
authors.affiliation: Department of Obstetrics and Gynaecology, IRCCS-Fondazione Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Bogliolo
authors.affiliation: Department of Obstetrics and Gynaecology, Santa Chiara Hospital of Trento, Italy.
authors.forename: Liliana
authors.initials: L
authors.lastname: Mereu
authors.affiliation: Department of Obstetrics and Gynaecology, IRCCS-Fondazione Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Cassani
authors.affiliation: Department of Obstetrics and Gynaecology, IRCCS-Fondazione Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Gardella
authors.affiliation: Department of Obstetrics and Gynaecology, IRCCS-Fondazione Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Zanellini
authors.affiliation: Department of Obstetrics and Gynaecology, IRCCS-Fondazione Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Mattia
authors.initials: M
authors.lastname: Dominoni
authors.affiliation: Department of Obstetrics and Gynaecology, IRCCS-Fondazione Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Luciana
authors.initials: L
authors.lastname: Babilonti
authors.affiliation: Department of Obstetrics and Gynaecology, Santa Chiara Hospital of Trento, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Delpezzo
authors.affiliation: Department of Obstetrics and Gynaecology, Santa Chiara Hospital of Trento, Italy.
authors.forename: Saverio
authors.initials: S
authors.lastname: Tateo
authors.affiliation: Department of Obstetrics and Gynaecology, IRCCS-Fondazione Policlinico San Matteo and University of Pavia, Italy.
authors.forename: Arsenio
authors.initials: A
authors.lastname: Spinillo
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D005260:Female; D005831:Genital Diseases, Female / Q000473:pathology / Q000601:surgery; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D012449:Safety; D016896:Treatment Outcome; D055815:Young Adult
keywords: hysterectomy; robotic single-site; robotic surgery; single-port