Initial experience of robotic-assisted laparoendoscopic single site intraligamental myomectomy ambulatory surgery—report of two cases

To analyze and summarize the experience of single-port robotic-assisted single-port laparoscopic ambulatory surgery (AS) for intraligamental myomectomy. Analyzed the basic conditions, preoperative myoma assessment, surgical operation, and perioperative management of two patients undergoing robotic-assisted laparoendoscopic single site (R-LESS) intraligamental myomectomy and reviewed in the literature to summarize the initial clinical experience of the robotic AS model. Two cases of R-LESS intraligamental myomectomy were successfully discharged after 29.82 h and 25.95 h of hospitalization, respectively, with no complications. R-LESS intraligamental myomectomy to achieve AS is safe and feasible. Adequate preoperative myoma evaluation, staging and strict access criteria, combined with current advanced single-port robotic technology and meticulous intraoperative management, and a scientific perioperative Enhanced Recovery After Surgery (ERAS) management process are the keys to enable AS for intraligamental myomectomy.