Comparative outcomes of robotic single-port vNOTES versus robotic-Xi assisted single-incision transumbilical surgery for hysterectomy - Takeaways - MDSpire

Comparative outcomes of robotic single-port vNOTES versus robotic-Xi assisted single-incision transumbilical surgery for hysterectomy

  • By

  • Qiannan Yang

  • David Pasternak

  • Chunhua Zhang

  • Xiaoming Guan

  • May 8, 2026

  • 0 min

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  • 1

    The study compared robotic single-port vNOTES and robotic Xi-assisted single-incision transumbilical surgery for hysterectomy.

  • 2

    RSP-vNOTES patients had more endometriosis-related procedures, while RXi-SITS patients had more uterosacral ligament suspensions.

  • 3

    After adjusting for complexity, estimated blood loss and postoperative pain were similar between RSP-vNOTES and RXi-SITS.

  • 4

    RXi-SITS was associated with a significantly longer total operative time compared to RSP-vNOTES, despite greater complexity in the latter.

  • 5

    RSP-vNOTES demonstrated comparable safety and feasibility, suggesting potential efficiency advantages in selected patients.

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