Application of single-port robotic systems in gynecologic vNOTES surgery

Vaginal natural orifice transluminal endoscopic surgery (vNOTES) for the treatment of gynecologic diseases offers advantages such minimal invasiveness, low surgical complication rates, and faster postoperative recovery. It also achieves a true “scarless” cosmetic outcome and represents a key direction in the development of modern surgery. The latest generation of single-port (SP) surgical robots deploy one electronic endoscope and three robotic surgical instruments through a single mechanical port, allowing high-definition visualization, a wide range of motion and restoration of the surgical triangulation. These characteristics reduce surgical difficulty and improve precision. Single-port robotic-assisted vNOTES (RSP-vNOTES) allows surgeons to perform intricate surgical procedures within confined anatomical spaces, expands surgical indications, enhances surgical precision and outcomes, and instates a new era of minimally invasive gynecologic surgery.