title: Robotic hysterectomy or myomectomy without power morcellation: A single-port assisted three-incision technique with manual morcellation.
abstract: BACKGROUND
  The purpose of this study was to evaluate the feasibility and safety of a single-port assisted three-incision robotic hysterectomy or myomectomy with manual morcellation using a scalpel, and to introduce our novel surgical technique.
  
  
  METHODS
  Between October 2010 and July 2014, 16 patients underwent robotic hysterectomy and 50 patients underwent robotic myomectomy using a single-port assisted three-incision technique. Manual morcellation through a single-port site without power morcellation was used to remove the uterus or uterine fibroids.
  
  
  RESULTS
  The mean operative times were 130.2 ± 32.6 min in the hysterectomy group and 178.8 ± 77.9 min in the myomectomy group. Intraoperative complications, including a rectal serosa injury and a small bowel injury, occurred in two cases. Three febrile morbidities occurred postoperatively. Finally, no complications were associated with manual morcellation.
  
  
  CONCLUSIONS
  Uterine tissues could be removed without any complications by manual morcellation within an endobag, using a scalpel. Copyright © 2015 John Wiley & Sons, Ltd.
authors.affiliation: Department of Obstetrics and Gynaecology, School of Medicine, Kyungpook National University Medical Centre, Daegu, South Korea.
authors.forename: Gun Oh
authors.initials: GO
authors.lastname: Chong
authors.affiliation: Department of Obstetrics and Gynaecology, School of Medicine, Kyungpook National University Medical Centre, Daegu, South Korea.
authors.forename: Yoon Hee
authors.initials: YH
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynaecology, School of Medicine, Kyungpook National University Medical Centre, Daegu, South Korea.
authors.forename: Dae Gy
authors.initials: DG
authors.lastname: Hong
authors.affiliation: Department of Obstetrics and Gynaecology, School of Medicine, Kyungpook National University Medical Centre, Daegu, South Korea.
authors.forename: Young Lae
authors.initials: YL
authors.lastname: Cho
authors.affiliation: Department of Obstetrics and Gynaecology, School of Medicine, Kyungpook National University Medical Centre, Daegu, South Korea.
authors.forename: Yoon Soon
authors.initials: YS
authors.lastname: Lee
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008875:Middle Aged; D000069577:Morcellation / Q000379:methods*; D061646:Operative Time; D065287:Robotic Surgical Procedures / Q000379:methods*; D063186:Uterine Myomectomy / Q000379:methods
keywords: hysterectomy; manual morcellation; myomectomy; robot; three-incision