Robotic Single-Incision Laparoscopic Surgery for the Management of Endometriosis: First Experience Via the Da Vinci SP Platform.

OBJECTIVE

To demonstrate the feasibility and mid-term outcomes of Robotic single-port single-incision laparoscopic surgery (RSP-SILS) for endometriosis management.

METHODS

A retrospective analysis was conducted on 50 adult women with endometriosis who underwent RSP-SILS via the da Vinci SP platform between November 2023 and July 2025.

RESULTS

Median total operative time was 142 min, robot dock time was 3 min, and robot console time was 99 min. Median estimated blood loss was 25 mL. No conversion occurred. Reported mid-term outcomes included 1 case each of pelvic haematoma, Clostridioides difficile colitis, and umbilical surgical site infection, as well as 3 cases of recurrent pelvic pain. Additionally, learning curve analysis demonstrated that robotic docking time stabilised after approximately 18 cases, suggesting progressive technical familiarisation with the RSP-SILS platform.

CONCLUSION

Our findings suggest that the use of RSP-SILS is a feasible and effective minimally invasive approach for performing complex procedures, specifically for endometriosis management.