Robotic hysterectomy or myomectomy without power morcellation: A single‐port assisted three‐incision technique with manual morcellation

Abstract

BACKGROUND: The purpose of this study was to evaluate the feasibility and safety of a single-port assisted three-incision robotic hysterectomy or myomectomy with manual morcellation using a scalpel, and to introduce our novel surgical technique. METHODS: Between October 2010 and July 2014, 16 patients underwent robotic hysterectomy and 50 patients underwent robotic myomectomy using a single-port assisted three-incision technique. Manual morcellation through a single-port site without power morcellation was used to remove the uterus or uterine fibroids. RESULTS: The mean operative times were 130.2 ± 32.6 min in the hysterectomy group and 178.8 ± 77.9 min in the myomectomy group. Intraoperative complications, including a rectal serosa injury and a small bowel injury, occurred in two cases. Three febrile morbidities occurred postoperatively. Finally, no complications were associated with manual morcellation. CONCLUSIONS: Uterine tissues could be removed without any complications by manual morcellation within an endobag, using a scalpel. Copyright © 2015 John Wiley & Sons, Ltd.