title: Robotic single-site combined cholecystectomy and hysterectomy: Advantages and limits.
abstract: BACKGROUND
  Robotic single-site surgery (RSS) represents the latest innovation for clinical use of single incision surgery. Several applications have been reported in urology, general surgery and gynecology with potential application in benign cases as well as in oncology.
  
  
  METHODS
  To further explore potential applications of RSS, we present the first case reported in the literature of combined cholecystectomy and total hysterectomy using the da Vinci Si single-port platform (Intuitive Surgical Inc., Sunnyvale, CA).
  
  
  CONCLUSIONS
  A critical description of the procedure with potential advantages and limitations of the current platform for combined surgical procedure is provided.
  
  
  CONCLUSIONS
  Robotics may facilitate the widespread diffusion of single incision surgery, overcoming current laparoscopic and LESS limitations. However, the available robotic platform still has technical features that will limit its uptake amongst surgeons and further technological development is needed for a wider diffusion of single incision surgery.
authors.affiliation: Department of Gynecology and Obstetrics, Geneva University Hospitals, Boulevard de la Cluse 30, 1205 Geneva, Switzerland. Electronic address: Nicola.Pluchino@hcuge.ch.
authors.forename: Nicola
authors.initials: N
authors.lastname: Pluchino
authors.affiliation: Department of Surgery, Clinic for Visceral and Transplantation Surgery, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland.
authors.forename: Nicolas C
authors.initials: NC
authors.lastname: Buchs
authors.affiliation: Department of Gynecology and Obstetrics, Geneva University Hospitals, Boulevard de la Cluse 30, 1205 Geneva, Switzerland.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Drakopoulos
authors.affiliation: Department of Gynecology and Obstetrics, Geneva University Hospitals, Boulevard de la Cluse 30, 1205 Geneva, Switzerland.
authors.forename: Jean Marie
authors.initials: JM
authors.lastname: Wenger
authors.affiliation: Department of Surgery, Clinic for Visceral and Transplantation Surgery, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland.
authors.forename: Philippe
authors.initials: P
authors.lastname: Morel
authors.affiliation: Department of Gynecology and Obstetrics, Geneva University Hospitals, Boulevard de la Cluse 30, 1205 Geneva, Switzerland.
authors.forename: Patrick
authors.initials: P
authors.lastname: Dällenbach
keywords: Hysterectomy; Robotic single-site; da Vinci