ArticleJournal of robotic surgery2025
Evaluating the learning curve in robot-assisted laparoscopic total hysterectomy: single-port versus multi-port Da Vinci platforms.
Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Emerging robotic platforms in gynecologic surgery: a systematic review.Journal of robotic surgery · 2026Pooled it
- Da VinciSurgical endoscopy · 2026Observational
- Evaluation of robotic exposure among gynecological surgeons: results of survey from the young European advocates of robotic surgery (YEARS).Journal of robotic surgery · 2026Article
- Comparative outcomes of robotic single-port vNOTES versus robotic-Xi assisted single-incision transumbilical surgery for hysterectomy.Frontiers in surgery · 2026Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study is to assess and compare the learning curves of the Da Vinci S Multi-port (MP) and Da Vinci Single-Port (SP) platforms for total hysterectomy, with particular attention to how prior MP experience influences SP performance. This is a retrospective comparative study on patients undergoing robot-assisted total hysterectomy (benign or early endometrial cancer indication) with the MP and SP systems. All operations were performed by the same surgeon, and cases performed with the SP system were performed after the MP system. Operating time was used as the main indicator of the learning curve, analyzed by the CUSUM method. Data were processed with R software, and differences between groups were evaluated with t-test and Chi-squared test (significance p < 0.05). A total of 147 patients were analyzed (73 MP, 74 SP). Mean operating times were similar between the two groups (117 min MP vs. 114 min SP). Hemoglobin drop was significantly lower in the SP group (- 1.18 g/dL vs. - 2.07 g/dL, p < 0.05). CUSUM analysis showed that the learning curve of the MP system reaches the mastery phase after 50 cases, while 13 cases are sufficient for the SP system when initiated after having mastered the MP system. The learning rate was - 0.3 min/case for MP and - 0.009 min/case for SP. In conclusion much of the experience gained with the Da Vinci Multiport System is transferable to the SP platform, allowing for a shorter learning curve and rapid achievement of surgical mastery with similar learning phases.
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