Initial experience of robotic-assisted laparoendoscopic single site intraligamental myomectomy ambulatory surgery—report of two cases

Abstract

Objective: To analyze and summarize the experience of single-port robotic-assisted laparoscopic ambulatory surgery (AS) for intraligamental myomectomy. Methods: We analyzed the basic conditions, preoperative myoma assessment, surgical operation, and perioperative management of two patients undergoing robotic-assisted laparoendoscopic single site (R-LESS) intraligamental myomectomy and reviewed in the literature to summarize the initial clinical experience of the robotic AS model. Results: Two cases of R-LESS intraligamental myomectomy were successfully discharged after 29.82 ​h and 25.95 ​h of hospitalization, respectively, with no complications. Conclusion: R-LESS intraligamental myomectomy to achieve AS is safe and feasible. Adequate preoperative myoma evaluation, staging and strict access criteria, combined with current advanced single-port robotic technology and meticulous intraoperative management, and a scientific perioperative Enhanced Recovery After Surgery (ERAS) management process are vital factors to enable AS for intraligamental myomectomy.

Keywords

• Robotic-assisted laparoendoscopic single site (R-LESS)
• Intraligamental myomectomy
• Ambulatory surgery (AS)
• Enhanced recovery after surgery (ERAS)
• Single port