2351 The da Vinci SP® Surgical System has an Advantage in Performing Surgery on a Giant Uterine Leiomyoma Weighing 2340g

Abstract

Study Objective To describe the experience of robotic-assisted single port supracervical hysterectomy with bilateral salpingectomy on a giant uterine leiomyoma using the da Vinci SP surgical system. Design A Case report. Setting Robot Surgery Center of Ewha Womans University Hospital. Patients or Participants A 45-year old virgin woman with huge uterine leiomyoma sized about 26 × 23cm2. Interventions Robotic-assisted single port SCH with BS using the da Vinci SP surgical system. Measurements and Main Results The recently introduced da Vinci SP surgical system include a fully wristed camera which can offer an easy movement of camera and instruments to 360 degree at once. Therefore this surgical system has an advantage on the surgery which requiring procedures both below and above the umbilicus with only the single incision inside the umbilicus. We present a case of huge uterine leiomyoma of intramural type measured about 26 × 23cm2 which is successfully performed the SCH with BS using the da Vinci SP system. Total operative time was 145 minutes and the estimated blood loss was 250 mL. The hospital stay was 2.5 days. No operative or postoperative complications occurred. To the best of our knowledge, this is the largest leiomyoma case of robotic-assisted single port SCH using the da Vinci SP system and we have known the advantage of the da Vinci SP® surgical system on the huge intraabdominal mass requiring procedures above the umbilicus level as in this case. Conclusion The da Vinci SP surgical system enables easy rotation of camera and instruments at once and this make it easy to perform the procedures which are performed above the umbilicus for the huge uterine leiomyoma reaching the diaphragm.