{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:21:31Z","timestamp":1791811291219,"version":"4.3.4"},"reference-count":15,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T00:00:00Z","timestamp":1752796800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: This study was designed to evaluate and contrast the surgical outcomes between coaxial robotic single-site myomectomy (RSSM) performed using the da Vinci Xi system and da Vinci SP system. Methods: A retrospective review was conducted on 81 women who underwent coaxial RSSM and 108 women who underwent myomectomy with the da Vinci SP system between October 2020 and January 2024. Propensity score matching was performed based on myoma count, the dominant myoma\u2019s maximum diameter, and the myoma type according to the International Federation of Gynecology and Obstetrics (FIGO) classification. Patient characteristics and surgical outcomes were evaluated and compared between the two groups. Results: Compared to the SP group, the coaxial RSSM group showed significantly lower estimated blood loss (102.33 \u00b1 61.01 vs. 203.98 \u00b1 163.15 mL, p &lt; 0.001), shorter operative time (91.22 \u00b1 18.25 vs. 148.69 \u00b1 45.62 min, p &lt; 0.001), and smaller hemoglobin decrement (1.69 \u00b1 0.93 vs. 2.85 \u00b1 1.30, p &lt; 0.001). However, hospital stay was shorter in the SP group than in the coaxial group (2.06 \u00b1 0.24 vs. 4.07 \u00b1 0.76 days, p &lt; 0.001). There were no statistically significant differences in postoperative complications, including ileus, fever, or wound dehiscence. Additional comparisons using cases performed by four different surgeons yielded results consistent with the one-to-one surgeon comparison. Conclusions: Coaxial RSSM was associated with a shorter operative time and lower blood loss compared to SP myomectomy. A prospective study is warranted to validate and further compare the surgical outcomes of the two techniques.<\/jats:p>","DOI":"10.3390\/jcm14145106","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T11:12:34Z","timestamp":1752837154000},"page":"5106","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparing Two Types of Robotic Single-Site Myomectomy Using Propensity Score Matching: Coaxial with da Vinci Xi vs. da Vinci SP System"],"prefix":"10.3390","volume":"14","author":[{"given":"Nara","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul 06135, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1433-2690","authenticated-orcid":false,"given":"Su Hyeon","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul 06135, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mi-La","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul 06135, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sa Ra","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Urogynecology and Reproductive Endocrinology, Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan, Seoul 05505, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3820-3412","authenticated-orcid":false,"given":"Seok Ju","family":"Seong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul 06135, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"key":"ref_1","first-page":"e70232","article-title":"Reproductive Outcomes Following Robot-Assisted Laparoscopic Myomectomy: 10 Years\u2019 Experience","volume":"16","author":"Sinha","year":"2024","journal-title":"Cureus"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.jmig.2013.11.010","article-title":"Systematic review of robotic surgery in gynecology: Robotic techniques compared with laparoscopy and laparotomy","volume":"21","author":"Gala","year":"2014","journal-title":"J. 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