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Advanced Minimally Invasive Surgery in Gynecology: Second Edition
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Advanced Minimally Invasive Surgery in Gynecology: Second Edition

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Methodology, Drug and Device Discovery".

Deadline for manuscript submissions: 15 July 2025 | Viewed by 4682

Special Issue Editors

Dr. Tae-Joong Kim

E-Mail Website
Guest Editor
Department of Obstetrics and Gynecology, Gynecologic Cancer Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea
Interests: gynecologic cancers; single-port surgery; natural orifice transluminal endoscopic surgery (NOTES); robotic surgery; image-guided surgery; lymphatic mapping; innovative techniques
Special Issues, Collections and Topics in MDPI journals
Dr. Valerio Gallotta

E-Mail Website
Guest Editor
Gynecologic Oncology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy
Interests: cervical cancer; minimally invasive surgery; fertility sparing treatments; translational medicine; sentinel lymph node concept; gynecological cancers
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Since the introduction of laparoscopy, remarkable achievements have been made in the field of gynecologic surgery, the impact of which cannot be overemphasized.

This Special Issue of the Journal of Personalized Medicine, ‘Advanced Minimally Invasive Surgery in Gynecology Second Edition’, aims to collate papers on the most advanced and cutting-edge innovations in the landscape of gynecologic surgery. We cordially invite submissions of manuscripts that reflect both practical and technical innovations and expertise in this field. Potential topics include, but not limited to, the following:

  • Minimally invasive laparoscopic surgery;
  • Ultra-minimally invasive laparoscopic surgery;
  • Single-incision laparoscopic surgery (SILS);
  • Robot-assisted laparoscopic surgery;
  • Reduced port surgery;
  • Vaginal natural orifice transluminal endoscopic surgery (vNOTES);
  • 3D laparoscopic surgery;
  • Sentinel lymph node mapping and biopsy;
  • Tactile sensing laparoscopic surgery;
  • Augmented reality (AR) visualization laparoscopic surgery;
  • Intraoperative laparoscopic ultrasound.

Dr. Tae-Joong Kim
Dr. Valerio Gallotta
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Personalized Medicine is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • minimally invasive laparoscopic surgery
  • ultra-minimally invasive laparoscopic surgery
  • single-incision laparoscopic surgery (SILS)
  • robot-assisted laparoscopic surgery
  • reduced port surgery
  • vaginal natural orifice transluminal endoscopic surgery (vNOTES)
  • 3D laparoscopic surgery
  • sentinel lymph node mapping and biopsy
  • tactile sensing laparoscopic surgery
  • augmented reality (AR) visualization laparoscopic surgery
  • laparoscopic ultrasound

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Published Papers (4 papers)

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Research

18 pages, 52608 KiB  
Article
Robotic Rectosigmoid Resection with Totally Intracorporeal Colorectal Anastomosis (TICA) for Recurrent Ovarian Cancer: A Case Series and Description of the Technique
by Valerio Gallotta, Luca Palmieri, Francesco Santullo, Camilla Certelli, Claudio Lodoli, Carlo Abatini, Miriam Attalla El Halabieh, Marco D’Indinosante, Alex Federico, Andrea Rosati, Carmine Conte, Riccardo Oliva, Anna Fagotti and Giovanni Scambia
J. Pers. Med. 2024, 14(10), 1052; https://doi.org/10.3390/jpm14101052 - 11 Oct 2024
Viewed by 798
Abstract
Background: Most patients with ovarian cancer relapse within 2 years. Prospective randomized trials, such as DESKTOP III and SOC-I, have shown the role of secondary cytoreduction in improving oncological outcomes in selected patients, when complete tumor resection is achieved. Recent retrospective series suggest [...] Read more.
Background: Most patients with ovarian cancer relapse within 2 years. Prospective randomized trials, such as DESKTOP III and SOC-I, have shown the role of secondary cytoreduction in improving oncological outcomes in selected patients, when complete tumor resection is achieved. Recent retrospective series suggest that minimally invasive surgery is a feasible option in oligometastatic recurrences, such as rectal ones. Methods: Five patients with an isolated rectal recurrence infiltrating the bowel wall underwent a robotic rectosigmoid resection with totally intracorporeal colorectal anastomosis. The procedure began with retroperitoneal access to manage the vascular structures, followed by visceral resection with a minimally invasive approach. The standard steps of an en-bloc pelvic resection, including intracorporeal end-to-end anastomosis, were performed. The treatment data were evaluated. Results: The mean age of the patients was 54 years, and their mean body mass index was 30. All patients had at least one previous abdominal surgery and 60% had high-grade serous ovarian cancer at their initial diagnosis. Their mean platinum-free interval was 17.4 months. Complete secondary cytoreduction was achieved in all cases, with histopathology confirming bowel infiltration. The mean procedure duration was 294 min, with an estimated blood loss of 180 mL. No intraoperative complications occurred. The mean hospital stay was 8 days. One patient had a grade 2 postoperative complication. The mean follow-up period was 14 months, with only one patient experiencing a recurrence at the level of the abdominal wall. Conclusions: Robotic rectosigmoid resection is a viable option for complete cytoreduction in isolated recurrent ovarian cancer. Full article
(This article belongs to the Special Issue Advanced Minimally Invasive Surgery in Gynecology: Second Edition)
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10 pages, 1780 KiB  
Article
Learning Curve Analysis of Single-Incision Ovarian Cystectomy: Comparative Study of Robotic and Conventional Laparoscopic Techniques
by Seongmin Kim, Seon-Mi Lee, Aeran Seol, Sanghoon Lee, Jae-Yun Song, Jae-Kwan Lee and Nak-Woo Lee
J. Pers. Med. 2024, 14(8), 785; https://doi.org/10.3390/jpm14080785 - 24 Jul 2024
Viewed by 946
Abstract
Ovarian cystectomy, aimed at preserving fertility, has advanced through minimally invasive surgical techniques. This study evaluates the learning curves and surgical outcomes of three such approaches: DaVinci Robotic Single-Site (RSS), DaVinci Robotic Single-Port (RSP), and laparo-endoscopic single-site surgery (LESS). To analyze the learning [...] Read more.
Ovarian cystectomy, aimed at preserving fertility, has advanced through minimally invasive surgical techniques. This study evaluates the learning curves and surgical outcomes of three such approaches: DaVinci Robotic Single-Site (RSS), DaVinci Robotic Single-Port (RSP), and laparo-endoscopic single-site surgery (LESS). To analyze the learning curves and surgical outcomes for these techniques, providing insights into their effectiveness and proficiency development. Retrospective analysis of 104 patients with ovarian tumors, divided into RSS (n = 52), RSP (n = 22), and LESS (n = 30) groups. Metrics analyzed included age, BMI, tumor size, hemoglobin drop, operative time, docking time, console time, and tumor location. No significant differences in age, BMI, transfusion rate, hemoglobin drop, or length of stay were found among the groups. RSS had larger tumors on average, and LESS had a higher occurrence rate on the right side. LESS demonstrated the shortest operative time, while RSS and RSP had comparable times. Docking and console times did not differ significantly between RSS and RSP. RSP reached proficiency faster than RSS in docking and console times, while LESS exhibited the greatest variability in operative time. RSP offers a faster and more consistent learning curve, making it advantageous for complex procedures, whereas LESS provides shorter operative times but with higher variability. These findings are crucial for surgical training and resource allocation in medical institutions. Full article
(This article belongs to the Special Issue Advanced Minimally Invasive Surgery in Gynecology: Second Edition)
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11 pages, 1113 KiB  
Article
Efficacy of Single- and Dual-Docking Robotic Surgery of Paraaortic and Pelvic Lymphadenectomy in High-Risk Endometrial Cancer
by Magdalena Bizoń, Maciej Olszewski, Agnieszka Grabowska, Joanna Siudek, Krzysztof Mawlichanów and Radovan Pilka
J. Pers. Med. 2024, 14(5), 441; https://doi.org/10.3390/jpm14050441 - 23 Apr 2024
Viewed by 1229
Abstract
(1) The surgical method of choice for the treatment of endometrial cancer is minimally invasive surgery. In cases of high-risk endometrial cancer, completed paraaortic and pelvic lymphadenectomy are indicated. The aim of this study was to analyze the types of docking during robotic [...] Read more.
(1) The surgical method of choice for the treatment of endometrial cancer is minimally invasive surgery. In cases of high-risk endometrial cancer, completed paraaortic and pelvic lymphadenectomy are indicated. The aim of this study was to analyze the types of docking during robotic surgery assisted with the da Vinci X system while performing paraaortic and pelvic lymphadenectomy. (2) Methods: A total of 25 patients with high-risk endometrial cancer, with a mean age of 60.07 ± 10.67 (range 34.69–83.23) years, and with a mean body mass index (BMI) of 28.4 ± 5.62 (range 18–41.5) kg/m2, were included in this study. The analyzed population was divided into groups that underwent single or dual docking during surgery. (3) Results: No statistical significance was observed between single and dual docking during paraaortic and pelvic lymphadenectomy and between the type of docking and the duration of the operation. However, there was a statistically significant correlation between the duration of the operation and previous surgery (p < 0.005). The number of removed lymph nodes was statistically associated with BMI (p < 0.005): 15.87 ± 6.83 and 24.5 ± 8.7 for paraaortic and pelvic lymph nodes, respectively, in cases of single docking, and 18.05 ± 7.92 and 24.88 ± 11.75 for paraaortic and pelvic lymph nodes, respectively, in cases of dual docking. (4) Conclusions: The robot-assisted approach is a good surgical method for lymphadenectomy for obese patients, and, despite the type of docking, there are no differences in the quality of surgery. Full article
(This article belongs to the Special Issue Advanced Minimally Invasive Surgery in Gynecology: Second Edition)
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10 pages, 233 KiB  
Article
Comparison of Surgical Outcomes of Two New Techniques Complementing Robotic Single-Site Myomectomy: Coaxial Robotic Single-Site Myomectomy vs. Hybrid Robotic Single-Site Myomectomy
by Nara Lee, Su-Hyeon Choi, Seyeon Won, Yong-Wook Jung, Seung-Hyun Kim, Jin-Yu Lee, Chul-Kwon Lim, Jung-Bo Yang, Joong-Gyu Ha and Seok-Ju Seong
J. Pers. Med. 2024, 14(4), 439; https://doi.org/10.3390/jpm14040439 - 22 Apr 2024
Viewed by 1088
Abstract
Background: This study aimed to compare surgical outcomes between two new robotic single-site myomectomy (RSSM)-complementary techniques: coaxial robotic single-site myomectomy (Coaxial-RSSM) and hybrid robotic single-site myomectomy (Hybrid-RSSM). Methods: Medical records for 132 women undergoing Coaxial-RSSM and 150 undergoing Hybrid-RSSM, consecutively, were retrospectively reviewed. [...] Read more.
Background: This study aimed to compare surgical outcomes between two new robotic single-site myomectomy (RSSM)-complementary techniques: coaxial robotic single-site myomectomy (Coaxial-RSSM) and hybrid robotic single-site myomectomy (Hybrid-RSSM). Methods: Medical records for 132 women undergoing Coaxial-RSSM and 150 undergoing Hybrid-RSSM, consecutively, were retrospectively reviewed. Patient characteristics and surgical outcomes were assessed and compared after propensity score matching (PSM). Results: In the outcomes of PSM, the Coaxial-RSSM group showed significantly reduced blood loss (79.71 vs. 163.75 mL, p < 0.001) and reduced hospital duration (4.18 ± 0.62 vs. 4.63 ± 0.90) relative to the Hybrid-RSSM group. Conversely, Hybrid-RSSM allowed for a shorter operative time compared with Coaxial-RSSM (119.19 vs. 156.01 min, p = 0.007). No conversions to conventional laparoscopy or laparotomy or any need for the multi-site robotic approach occurred in either group. Postoperative complications, including ileus, fever, and wound dehiscence, showed no statistically significant differences between the two groups. Conclusions: Blood loss was lower with Coaxial-RSSM, and operative time was shorter for Hybrid-RSSM. A follow-up prospective study is warranted for more comprehensive comparison of surgical outcomes between the two techniques. Full article
(This article belongs to the Special Issue Advanced Minimally Invasive Surgery in Gynecology: Second Edition)
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