Outcomes of the da Vinci robotic surgery system in benign gynecologic conditions: A retrospective analysis of 50 cases at a single center

Robotic surgery represents a recent advancement in minimally invasive surgical techniques. In this study, the authors aimed to analyze the use of the Da Vinci robotic surgery system for managing benign gynecologic conditions from 2019 to 2023, focusing on preoperative, intraoperative, and postoperative outcomes. A total of 50 patients were included, of whom 33 (66%) were obese (BMI ≥ 30 kg/m²). The most common procedures performed were hysterectomy with bilateral salpingo-oophorectomy (<i>n</i> = 25, 50%) and bilateral salpingo-oophorectomy (<i>n</i> = 15, 30%). Conversion to laparotomy occurred in only one patient (2%) due to severe adhesions. A positive correlation was observed between higher uterine weight and longer operative time; however, it was not statistically significant (<i>n</i> = 31, <i>R</i> = 0.309, <i>p</i> = 0.091). In the subgroup analysis, obesity did not significantly affect perioperative outcomes. Overall, robotic surgery demonstrated technical feasibility and safety for patients with benign gynecologic conditions.