{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:26:34Z","timestamp":1786739194078,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>\n                      Robot-assisted surgery has become popular in Japan, especially with the introduction of the da Vinci SP\n                      <jats:sup>\u00ae<\/jats:sup>\n                      surgical system, which is a significant advancement in minimally invasive surgery. The da Vinci SP\n                      <jats:sup>\u00ae<\/jats:sup>\n                      surgical system, which enables single-port surgery, has recently been developed. This study aims to compare the surgical outcomes of conventional single-port laparoscopic surgery and single-port robotic surgery using the da Vinci SP surgical system.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      We included 23 patients who underwent single-port robot-assisted total hysterectomy (SP-RAH) for uterine fibroids and 33 patients who underwent conventional single-port total laparoscopic hysterectomy (SP-TLH). Surgical outcomes from the 1\n                      <jats:sup>st<\/jats:sup>\n                      year after the introduction of the da Vinci SP\n                      <jats:sup>\u00ae<\/jats:sup>\n                      system were compared between the two techniques.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Surgical outcomes showed the following differences between the SP-RAH and SP-TLH groups: Weights of the resected uterus: 217 (90\u2013500) g versus 256 (100\u2013436) g (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.06); intraoperative blood loss: 12 (4\u2013147) mL versus 80 (10\u2013780) mL (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01); total surgery duration: 199 (131\u2013251) min versus 239 (110\u2013282) min (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.03); pneumoperitoneal surgery duration: 146 (90\u2013221) min versus 186 (110\u2013282) min (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.03). SP-RAH showed significantly less blood loss and shorter operative durations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The da Vinci SP system allows the safe introduction of single-port total hysterectomy and improves surgical outcomes in the early stages compared to conventional single-port laparoscopy. Future studies may expand its use to improve wound alignment and reduce patient burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/gmit.gmit-d-24-00048","type":"journal-article","created":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T15:00:11Z","timestamp":1752937211000},"page":"229-233","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of Single-port Robotic Surgery Using the Da Vinci SP Surgical System and Single-port Laparoscopic Surgery for Benign Indications"],"prefix":"10.4103","volume":"14","author":[{"given":"Hironori","family":"Miyamura","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Fujita Health University, Toyoake, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Mizuno","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Fujita Health University, Toyoake, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Ohwaki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Fujita Health University, Toyoake, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayuko","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Fujita Health University, Toyoake, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiji","family":"Nishio","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Fujita Health University, Toyoake, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruki","family":"Nishizawa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Fujita Health University, Toyoake, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,19]]},"reference":[{"key":"R2-20250804","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1016\/j.jmig.2020.08.009","article-title":"Robotic LESS and reduced-port hysterectomy using the da Vinci SP surgical system: A single-institution case series","volume":"28","author":"Misal","year":"2021","journal-title":"J Minim Invasive Gynecol"},{"key":"R3-20250804","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1177\/000313481107700125","article-title":"Single incision laparoscopic surgery (SILS) is associated with poorer performance and increased surgeon workload compared with standard laparoscopy","volume":"77","author":"Montero","year":"2011","journal-title":"Am Surg"},{"key":"R4-20250804","doi-asserted-by":"crossref","first-page":"317.e1","DOI":"10.1016\/j.ajog.2013.07.004","article-title":"Laparoendoscopic single-site versus conventional 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operative working spaces: A preclinical randomized crossover trial","volume":"23","author":"Marcus","year":"2016","journal-title":"Surg Innov"},{"key":"R11-20250804","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1007\/s00404-016-4108-8","article-title":"Review and meta-analysis of prospective randomized controlled trials (RCTs) comparing laparo-endoscopic single site and multiport laparoscopy in gynecologic operative procedures","volume":"294","author":"Pontis","year":"2016","journal-title":"Arch Gynecol Obstet"},{"key":"R12-20250804","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1007\/s00404-017-4323-y","article-title":"Laparoendoscopic single-site surgery versus conventional laparoscopy for hysterectomy: A systematic review and meta-analysis","volume":"295","author":"Sandberg","year":"2017","journal-title":"Arch Gynecol Obstet"},{"key":"R13-20250804","doi-asserted-by":"crossref","first-page":"155","DOI":"10.4103\/GMIT.GMIT_3_19","article-title":"Comparison between laparoendoscopic single-site and conventional laparoscopic surgery in mature cystic teratoma of the ovary","volume":"8","author":"Kim","year":"2019","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R14-20250804","doi-asserted-by":"crossref","first-page":"59","DOI":"10.4103\/GMIT.GMIT_68_19","article-title":"A comparison of surgical outcomes between single-site robotic, multiport robotic and conventional laparoscopic techniques in performing hysterectomy for benign indications","volume":"9","author":"Gupta","year":"2020","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R15-20250804","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1007\/s11701-023-01541-x","article-title":"Learning curves and perioperative outcomes of single-incision robotic sacrocolpopexy on two different da Vinci(\u00ae) surgical systems","volume":"17","author":"Oh","year":"2023","journal-title":"J Robot 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