title: Robotic single-site myomectomy: initial report and technique.
abstract: OBJECTIVE
  To report the first cases of robotic single-site (RSS) myomectomy with the use of the Da Vinci Si Surgical System with wristed semirigid instrumentation.
  
  
  METHODS
  Case series.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Four patients with symptomatic uterine fibroids desiring conservative minimally invasive surgical treatment.
  
  
  METHODS
  Four RSS myomectomies were performed with the Da Vinci Single-Site platform. Data regarding patient characteristics, indication of surgery, and perioperative outcomes were collected.
  
  
  METHODS
  Safety and reproducibility of RSS myomectomy.
  
  
  RESULTS
  All RSS procedures were completed successfully. Median operative time was 210 minutes (range 202-254 min). Median blood loss was 103 mL (range 75-200 mL). No instrument failures were noted during the procedures. No operative or major postoperative complications occurred. Two patients were discharged on the day of surgery, and two were discharged after overnight observation.
  
  
  CONCLUSIONS
  RSS myomectomy with the use of wristed semi-rigid instrumentation is a feasible procedure. Indications, safety, and use of the technique will be confirmed by growing experience.
authors: Center for Infertility and Reproductive Surgery, Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
authors: Erin I
authors: EI
authors: Lewis
authors: Center for Infertility and Reproductive Surgery, Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
authors: Serene S
authors: SS
authors: Srouji
authors: Center for Infertility and Reproductive Surgery, Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: agargiulo@partners.org.
authors: Antonio R
authors: AR
authors: Gargiulo
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery*; D007902:Length of Stay; D061646:Operative Time; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*
keywords: Robotic surgery; morcellation; myomectomy; single-site surgery