The Region's First da Vinci Xi® Single-Site Surgery Performed at UMCP

May 24, 2016
A surgical team at University Medical Center of Princeton (UMCP) performed a total hysterectomy through a single, small incision in the patient's navel—the first such operation ever performed with the da Vinci Xi® Surgical System in the Northeast USA region (Philadelphia-New York-Boston), according to da Vinci manufacturer Intuitive Surgical Inc.

The procedure, fully known as a total hysterectomy with bilateral salpingo-oophorectomy (BSO), involves removing a woman's uterus, cervix, fallopian tubes and ovaries.

Bruce R. Pierce, MD, FACOG, FACS, Medical Director of the Robotic Surgery Program at UMCP, performed the operation on Wednesday, May 11, assisted by: Dana L. Lucas, PA-C; Brian J. Wallace, PA-C; Kiersten Scully, RN, Robotic Coordinator; Joseph Ventura, CST; Chrissy Alcoba, RN; Amanda Pierce, CST; and Lejanie Reyes, RN-BC.

The da Vinci Xi—the latest, most advanced version of the surgical robot—had been used for similar surgeries in the past using a multiple-port approach. In March 2016, the U.S. Food and Drug Administration approved the Xi System for single-site surgery for some procedures, including a total hysterectomy with BSO.

"The procedure went very well, and the patient returned home in less than 24 hours," Dr. Pierce said. "It's a remarkable difference from traditional surgery, which would have resulted in a hospital stay of three to five days followed by typically six weeks of recovery at home."

A hysterectomy, or removal of the uterus, is one of the most common surgical procedures among women of child-bearing age. About 600,000 hysterectomies are performed each year in the U.S., according to the Centers for Disease Control and Prevention. Nationally, most hysterectomies are still performed using traditional methods via a six- to eight-inch abdominal incision, Dr. Pierce said.

"Robotic surgery provides several benefits to the patient, including less pain, minimal scarring and faster recovery," said Dr. Pierce. "In my specialty, gynecologic surgery, robot-assisted procedures provide a minimally invasive alternative for patients to traditional surgery. Most women are candidates for this type of surgery, even with complex conditions."

UMCP's Center for Minimally Invasive Surgery has one of the most comprehensive robot-assisted surgery programs in the region. According to Intuitive Surgical Inc., UMCP is one of only two hospitals in New Jersey that serve as robotic mentoring and case-observation sites for general surgery procedures.

In addition to general surgery, surgeons on the medical staff at UMCP use the da Vinci Surgical System to perform colorectal, gynecologic, thoracic, urologic and urogynecologic procedures.

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Andy Williams, 609-252-8785