First European Cases of Robotic Single-Port Vaginal Hysterectomy: Surgical Techniques and Insights
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By
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Layanna Otrante
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Louise Moniod
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Clement Rousseau
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Celine Chauleur
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May 12, 2026
Clinical Report: First European Cases of Robotic Single-Port Vaginal Hysterectomy
Overview
This report details the first successful robotic-assisted vaginal hysterectomy using the da Vinci® Single-Port system in Europe. The procedure demonstrated feasibility and provided insights into surgical techniques and short-term outcomes.
Background
Hysterectomy is a common gynecological procedure, with the vaginal route being the gold standard when possible. The advent of vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) has improved minimally invasive options, yet challenges remain, particularly for larger uterine volumes. Robotic assistance via the Single-Port system may enhance the feasibility and outcomes of vaginal hysterectomy.
Data Highlights
No numerical data was provided in the article.
Key Findings
- The first robotic-assisted vaginal hysterectomy using the da Vinci® Single-Port system was performed in Europe on October 23, 2024.
- The patient was a 42-year-old woman with a 12 cm anterior fibroid and no previous surgical history.
- Robotic assistance facilitated the procedure, allowing for optimal access and visualization.
- The total weight of the extracted uterus was 800 g, indicating the capability to manage larger uterine volumes.
- Short-term postoperative outcomes were reported, though specific data were not detailed in the article.
Clinical Implications
The integration of robotic assistance in vaginal hysterectomy may expand the indications for this approach, particularly for patients with larger uterine sizes. Surgeons should consider the potential benefits of robotic systems in enhancing surgical precision and patient outcomes.
Conclusion
The successful implementation of robotic single-port vaginal hysterectomy represents a promising advancement in minimally invasive gynecological surgery. Further studies are needed to evaluate long-term outcomes and compare them with traditional approaches.
Related Resources & Content
- conexiant, Conexiant, 2023 -- Robotic Surgery Shows Early Promise in Gynecology
- Surgical Endoscopy, Springer, 2025 -- Early Outcomes of Robotic-Assisted Hysterectomy Using the Carina™ System for Gynecological Malignancies
- Techniques in Coloproctology, Springer, 2023 -- Minimally Invasive Techniques in Robotic Abdominoperineal Resection, Posterior Vaginectomy, and Sacrectomy: Insights and Case Study
- Frontiers in Surgery, Frontiers, 2026 -- Comparative outcomes of robotic single-port vNOTES versus robotic-Xi assisted single-incision transumbilical surgery for hysterectomy
- Choosing the Route of Hysterectomy for Benign Disease | ACOG, ACOG, 2017
- Robotic versus conventional laparoscopic total hysterectomy for benign gynecologic disease: an RCT-only, GRADE-assessed systematic review and meta-analysis of operative outcomes and perioperative morbidity - PubMed, PubMed, 2023
- Recommendations | Vaginal transluminal endoscopic hysterectomy and adnexal surgery for benign gynaecological conditions | Guidance | NICE, NICE, 2023
- Choosing the Route of Hysterectomy for Benign Disease | ACOG
- Robotic versus conventional laparoscopic total hysterectomy for benign gynecologic disease: an RCT-only, GRADE-assessed systematic review and meta-analysis of operative outcomes and perioperative morbidity - PubMed
- 1 Recommendations | Vaginal transluminal endoscopic hysterectomy and adnexal surgery for benign gynaecological conditions | Guidance | NICE
Based on findings from:
Robotic single-port (SP) vaginal hysterectomy: the first cases in Europe and surgical steps
Layanna Otrante, Louise Moniod, Clement Rousseau, Celine Chauleur. Surgical Endoscopy, 2026.
https://link.springer.com/article/10.1007/s00464-026-12883-6
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