{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:47:11Z","timestamp":1792158431832,"version":"4.4.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"DOI":"10.1007\/s11701-026-04078-x","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:56:23Z","timestamp":1792155383000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and efficacy of a novel miniaturized robotic assisted surgery system in hysterectomy: a prospective, investigational device exemption clinical trial"],"prefix":"10.1007","volume":"20","author":[{"given":"Ricardo","family":"Estape","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piet","family":"Hinoul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Heidrick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Beck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ty B.","family":"Erickson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Dubuisson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Gomez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"issue":"8","key":"4078_CR1","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1097\/DCR.0000000000003249","volume":"67","author":"JH Marks","year":"2024","unstructured":"Marks JH, Keller DS, Lagares-Garcia JA, Schoonyoung HP, Farritor SM, Oleynikov D, Jobst MA (2024) Safety and Efficacy of a Novel Miniaturized Robotic-Assisted Surgery System in Colectomy: A Prospective, Investigational Device Exemption Clinical Study Using the IDEAL Framework. Dis Colon Rectum 67(8):1085\u20131093 (Epub 2024 Jul 13. PMID: 38653496; PMCID: PMC11250098)","journal-title":"Dis Colon Rectum"},{"issue":"2","key":"4078_CR2","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","volume":"240","author":"D Dindo","year":"2004","unstructured":"Dindo D, Dematines N, Clavien PA (2004) Classification of Surgical Complications. A New Proposal with Evaluation in a Cohort of 6336 Patients and Results of a Survey. Ann Surg 240(2):205\u2013213","journal-title":"Ann Surg"},{"issue":"5","key":"4078_CR3","doi-asserted-by":"publisher","first-page":"1005","DOI":"10.1097\/AOG.0b013e318231537c","volume":"118","author":"MF Paraiso","year":"2011","unstructured":"Paraiso MF, Jelovsek JE, Frick A, Chen CC, Barber MD (2011) Laparoscopic compared with robotic sacrocolpopexy for vaginal prolapse: a randomized controlled trial. Obstet Gynecol 118(5):1005\u20131013","journal-title":"Obstet Gynecol"},{"issue":"3","key":"4078_CR4","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1016\/j.jmig.2008.01.008","volume":"15","author":"TN Payne","year":"2008","unstructured":"Payne TN, Dauterive FR (2008) A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy; surgical outcomes in a community practice. J Minim Invasive Gynecol 15(3):286\u2013291","journal-title":"J Minim Invasive Gynecol"},{"key":"4078_CR5","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1097\/AOG.0b013e318265b61a","volume":"3","author":"D Sarlos","year":"2012","unstructured":"Sarlos D, Kots L, Stevanovic N, von Felten S, Schar G (2012) Robotic compared with conventional laparoscopic hysterectomy: a randomized controlled trial. Obstet Gynecol 3:604\u2013611","journal-title":"Obstet Gynecol"},{"issue":"12","key":"4078_CR6","doi-asserted-by":"publisher","first-page":"976","DOI":"10.1016\/j.jmig.2023.08.005","volume":"30","author":"S Mouro","year":"2023","unstructured":"Mouro S, Hamed JLC, Whiteside JL, Tumin D (2023) Relevance of Uterine Weight for Predicting Surgical Complications in Minimally Invasive Benign Hysterectomy. J Minim Invasive Gynecol 30(12):976\u2013982 (Epub 2023 Aug 21. PMID: 37611741)","journal-title":"J Minim Invasive Gynecol"},{"key":"4078_CR7","doi-asserted-by":"publisher","unstructured":"Lawrie TA, Liu H, Lu D, Dowswell T, Song H, Wang L, Shi G (2019) Robot-assisted surgery in gynaecology. Cochrane Database of Systematic Reviews. Issue 4. Art. No.: CD011422. https:\/\/doi.org\/10.1002\/14651858.CD011422.pub2","DOI":"10.1002\/14651858.CD011422.pub2"},{"issue":"3","key":"4078_CR8","doi-asserted-by":"publisher","first-page":"501","DOI":"10.5114\/wiitm.2021.108800","volume":"16","author":"R Watrowski","year":"2021","unstructured":"Watrowski R, Kostov S, Alkatout I (2021) Complications in laparoscopic and robotic-assisted surgery: definitions, classifications, incidence and risk factors - an up-to-date review. Wideochir Inne Tech Maloinwazyjne 16(3):501\u2013525. https:\/\/doi.org\/10.5114\/wiitm.2021.108800. (Epub 2021 Aug 28)","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"issue":"3","key":"4078_CR9","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1016\/j.ijgo.2015.11.010","volume":"133","author":"PC Lim","year":"2016","unstructured":"Lim PC, Crane JT, English EJ, Farnam RW, Garza DM, Winter ML, Rozeboom JL (2016) Multicenter analysis comparing robotic, open, laparoscopic, and vaginal hysterectomies performed by high-volume surgeons for benign indications. Int J Gynecol Obstet 133(3):359\u2013364","journal-title":"Int J Gynecol Obstet"},{"issue":"5","key":"4078_CR10","doi-asserted-by":"publisher","first-page":"1199","DOI":"10.1007\/s11701-021-01340-2","volume":"16","author":"MG Baracy Jr","year":"2022","unstructured":"Baracy MG Jr, Martinez M, Hagglund K, Afzal F, Kulkarni S, Corey L, Aslam MF (2022) Minimally invasive hysterectomy for benign indications-surgical volume matters: a retrospective cohort study comparing complications of robotic-assisted and conventional laparoscopic hysterectomies. J Robot Surg 16(5):1199\u20131207. https:\/\/doi.org\/10.1007\/s11701-021-01340-2. (Epub 2022 Jan 3. PMID: 34981444)","journal-title":"J Robot Surg"},{"key":"4078_CR11","doi-asserted-by":"publisher","unstructured":"El Hachem L, Momeni M, Friedman K, Moshier EL, Chuang LT, Gretz HF (2016) 3rd. Safety, feasibility and learning curve of robotic single-site surgery in gynecology. Int J Med Robot. ;12(3):509\u2009\u2013\u200916. https:\/\/doi.org\/10.1002\/rcs.1675. (Epub 2015 Jun 11. PMID: 26096813)","DOI":"10.1002\/rcs.1675"},{"key":"4078_CR12","doi-asserted-by":"publisher","unstructured":"Erdemoglu E, Galasso FI, Mourad J, Butler K, Magrina J, Yi J (2025) Comparative surgical outcomes of single port SP1098 vs multiport Xi platforms for benign hysterectomy using the validated comprehensive complication index. J Robot Surg. ;19(1):323. https:\/\/doi.org\/10.1007\/s11701-025-02499-8. (PMID: 40555946)","DOI":"10.1007\/s11701-025-02499-8"},{"key":"4078_CR13","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1007\/s11701-017-0755-4","volume":"12","author":"J Jayakumaran","year":"2018","unstructured":"Jayakumaran J, Wiercinski K, Buffington C, Caceres A (2018) Robotic laparoendoscopic single-site benign gynecologic surgery: a single-center experience. J Robot Surg 12:447\u2013454. https:\/\/doi.org\/10.1007\/s11701-017-0755-4","journal-title":"J Robot Surg"},{"issue":"3","key":"4078_CR14","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1111\/aogs.13270","volume":"97","author":"JA Kreuninger","year":"2018","unstructured":"Kreuninger JA, Cohen SL, Meurs EAIM, Cox M, Vitonis A, Jansen FW, Einarsson JI (2018) Trends in readmission rate by route of hysterectomy - a single-center experience. Acta Obstet Gynecol Scand 97(3):285\u2013293. https:\/\/doi.org\/10.1111\/aogs.13270. (Epub 2017 Dec 21. PMID: 29192965)","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"5","key":"4078_CR15","doi-asserted-by":"publisher","first-page":"103145","DOI":"10.1016\/j.jogoh.2026.103145","volume":"55","author":"G Marchand","year":"2026","unstructured":"Marchand G, Ulibarri H, Arroyo A, Herrera DG, Hamilton B, Ruffley K, Robinson M, Emerson E, Sabin A, Kayser S, Azadi A (2026) Comparison of the Efficacy and Safety of Single-Site Laparoscopic Hysterectomy with and without Robotic Assistance: A Meta-Analysis. J Gynecol Obstet Hum Reprod 55(5):103145. https:\/\/doi.org\/10.1016\/j.jogoh.2026.103145. (Epub 2026 Feb 17. PMID: 41713553)","journal-title":"J Gynecol Obstet Hum Reprod"},{"key":"4078_CR16","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1016\/j.jmig.2020.08.009","volume":"28","author":"M Misal","year":"2021","unstructured":"Misal M, Magtibay PM, Yi J (2021) Robotic LESS and Reduced-Port Hysterectomy Using the da Vinci SP Surgical System: A Single-Institution Case Series. J Minim Invasive Gynecol 28:1095\u20131100. https:\/\/doi.org\/10.1016\/j.jmig.2020.08.009","journal-title":"J Minim Invasive Gynecol"},{"key":"4078_CR17","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1016\/j.jogc.2017.08.005","volume":"40","author":"TYT Ngan","year":"2018","unstructured":"Ngan TYT, Zakhari A, Czuzoj-Shulman N, Tulandi T, Abenhaim HA (2018) Laparoscopic and Robotic-Assisted Hysterectomy for Uterine Leiomyomas: A Comparison of Complications and Costs. J Obstet Gynaecol Can 40:432\u2013439. https:\/\/doi.org\/10.1016\/j.jogc.2017.08.005","journal-title":"J Obstet Gynaecol Can"},{"key":"4078_CR18","doi-asserted-by":"publisher","unstructured":"Pfeuti CK, Zhi L, Hoffman MK (2023) Uterine Weight and Perioperative Morbidity in Robotic-Assisted versus Conventional Laparoscopic Hysterectomy. Jsls 27. https:\/\/doi.org\/10.4293\/jsls.2023.00042","DOI":"10.4293\/jsls.2023.00042"},{"key":"4078_CR19","doi-asserted-by":"publisher","first-page":"6067","DOI":"10.1007\/s00464-022-09073-5","volume":"36","author":"PC Shah","year":"2022","unstructured":"Shah PC et al (2022) Impact of type of minimally invasive approach on open conversions across ten common procedures in different specialties. Surg Endosc 36:6067\u20136075. https:\/\/doi.org\/10.1007\/s00464-022-09073-5","journal-title":"Surg Endosc"},{"key":"4078_CR20","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1016\/j.ijgo.2016.06.016","volume":"135","author":"CA Unger","year":"2016","unstructured":"Unger CA, Lachiewicz MP, Ridgeway B (2016) Risk factors for robotic gynecologic procedures requiring conversion to other surgical procedures. Int J Gynaecol Obstet 135:299\u2013303. https:\/\/doi.org\/10.1016\/j.ijgo.2016.06.016","journal-title":"Int J Gynaecol Obstet"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-04078-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-026-04078-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-04078-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:56:24Z","timestamp":1792155384000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-026-04078-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,16]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4078"],"URL":"https:\/\/doi.org\/10.1007\/s11701-026-04078-x","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,16]]},"assertion":[{"value":"8 September 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 October 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Funding for this clinical study was provided by Virtual Incision Corporation. Dr Hinoul and Ms Beck are employees of Virtual Incision Corporation, the manufacturer of the investigational device described in this manuscript.Drs. Heidrick and Estape have received consulting fees from Virtual Incision Corporation for work related to procedural development and human-factors evaluation of the MIRA Surgical System. Drs Gomez, Erickson and Martin have received consulting fees from Virtual Incision Corporation for work related to human-factors evaluation of the MIRA Surgical System. Dr. Dubuisson received travel support from Virtual Incision Corporation to present findings from the first-in-human study that preceded the IDE clinical trial.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"1109"}}