Perioperative outcomes of three-port robotically assisted hysterectomy: a continuous series of 53 cases.

Abstract

This study evaluated the feasibility and safety of 3-port robotically assisted laparoscopic hysterectomy (RALH), using a consecutive series of women who underwent 3-port RALH in a university hospital. From November 2010 until June 2013 we operated on 53 women, whose mean age was 48.4±7.7years (range 35-68years), and mean body mass index was 27.1±5.1kg/m(2) (range 19.5-42.9kg/m(2)). The indications for hysterectomy were myoma in 31 (58.5%), adenomyosis in 10 (18.9%), cervical dysplasia in 4 (7.5%), neoplasia in 4 (7.5%), and recurrent polyps or postmenopausal bleeding in the remaining 4 women (7.5%). We performed total RALH in 50 cases (94.3%) and subtotal in the others. The median duration of total intervention was 169min (interquartile range 147.5-206.5min). The mean weight of the uterus was 209.8±166.6g (range 36-790g) and mean estimated blood loss was 72.3±75.9ml (range 0-300ml). There were no perioperative complications, in particular no blood transfusions nor conversions to laparotomy. The median hospital stay was 4days (interquartile range 3-4days). One patient was reoperated 1month later for vaginal vault hematoma and another was readmitted 3weeks post-operatively due to vaginal vault dehiscence after premature intercourse, but did not require reoperation. Three-port RALH is feasible and safe for simple hysterectomy. We believe this experience using minimum ports to be useful to prepare for robotically assisted single-port hysterectomy.