30 Apr Da Vinci Single Port Robotic Surgery in Gynaecology
I recently visited Japan and South Korea, two countries at the forefront of robotic single port surgery using the Da Vinci SP system. Both nations have been leading the way in adopting this technology, particularly in gynaecology, and it was valuable to see firsthand how it is being integrated into clinical practice.
During my visit, I observed a range of procedures performed using the Da Vinci SP system, including hysterectomies, myomectomies, ovarian cystectomies, and surgical treatment of endometriosis. All were performed through a single small incision, typically concealed within the umbilicus. The aim of this approach is to minimise visible scarring, reduce postoperative pain, and enable faster recovery compared to traditional multi-port or open surgery.
The Da Vinci Single Port system allows for improved access and precision in confined spaces, which can be particularly beneficial in gynaecologic surgery. Watching complex procedures being completed with minimal tissue disruption reinforced the potential advantages of this technology for patient outcomes.
The Role of Single Port Surgery in Gynaecology
Single port robotic surgery represents the next evolution in minimally invasive gynaecologic surgery. Compared with conventional laparoscopy and multi-port robotic surgery, the SP system offers:
- A single small access point
- Reduced postoperative discomfort
- Faster return to normal activities
- Lower risk of wound complications
- Improved cosmetic results
The ability to manage complex conditions, such as extensive endometriosis or large fibroids, through a single site is particularly important. Traditionally, these cases might have required larger incisions or multiple ports, leading to longer recovery times and increased surgical morbidity.
Looking Ahead in Australia
The Da Vinci SP system has now been approved for gynaecologic surgery in Australia in 2025. With this approval, there is an opportunity to expand access to minimally invasive options for women, particularly for cases that were previously more challenging to manage laparoscopically.
I am hopeful that Australian centres will soon incorporate SP technology into clinical practice, allowing more women to benefit from reduced surgical trauma and quicker recoveries.
My recent observations have strengthened my belief that single port robotic surgery will play a key role in the future of gynaecologic surgery, offering safer and more patient-centred options for a wide range of conditions.