• Barbara Gardella, Mattia Dominoni, Andrea Gritti, Liliana Mereu, Stefano Bogliolo, Marco Torella, Francesco Fanfani, Mario Malzoni, Aldina Couso, Alvaro Zapico, and Ignacio Zapardiel.
• Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy.
• Medicina (Kaunas). 2023 Jan 8; 59 (1).

UnlabelledBackground and Objectives: Minimally invasive surgery, especially the single-site approach, has demonstrated several advantages in the gynaecological setting. The aim of this study was to compare the surgical outcomes of single-site hysterectomy for benign conditions between the traditional laparoendoscopic approach and robotic surgery.Materials And MethodsWe consecutively enrolled 278 women between 2012 and 2019 in this multicentre trial. The patients underwent robotic single-site hysterectomy (RSSH) or laparoendoscopic single-site hysterectomy (LESSH) procedures with or without salpingo-oophorectomy for benign indications. Surgical parameters and surgical outcomes were analysed.ResultsThere was a statistical difference between the two surgical techniques for total operative time (p = 0.001), set-up time (p = 0.013), and anaesthesia time (p = 0.001). Significant differences in intraoperative blood loss were observed (p = 0.001), but no differences were shown for blood transfusion or intraoperative or postoperative complications in the two groups.ConclusionsLESSH outperformed RSSH in terms of surgical performance and clinical outcomes, with no differences in adverse events.

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