[Robotic-assisted gynecological surgeries: a series of the first 14 cases].

Purpose: To present the outcomes of the first 14 robotic-assisted gynecological surgeries from Israel.

Method: A total of 14 patients, who underwent robotic-assisted gynecological surgeries including total and subtotal hysterectomies with and without bilateral salpingo-oopherectomy, as well as one unilateral salpingo-oopherectomy and omental biopsy, were included in this study. Patients' demographics, surgical procedures, operative and postoperative complications, hospital stay, conversion to laparotomy, time data including all operative times and pathological specimen's weight were recorded. All the surgeries were performed by the same surgeon.

Results: All surgeries were completed robotically with no conversion to taparotomy. The mean and range of operating time were 156.6 and 108-218 minutes, respectively. The mean docking time was 9.5 min. [range 4-20 minutes]. The mean anesthesia time was 214.5 min. (range 160-280 min.). The mean specimen's weight was 138.8 grams (range 55-240 grams). The mean and range of the hospital stay were 2.8 days (range 1-7.5 days). Only one complication occurred: one partial ureteral stenosis which was treated by insertion of ureteral stent.

Conclusion: Robotic-assisted gynecological surgeries are feasible and safe for women with benign and precancerous pathologies, although there are limitations that may be overcome with further experience.