The first report of surgery for gynecological diseases using the hinotori™ surgical robot system

Abstract

Objective This study aimed to report the first surgery for gynecological diseases using a new robotic platform, the hinotori™, and validate its feasibility in clinical settings. Methods The world’s first robot-assisted total hysterectomy for a gynecological ailment was carried out at Kagoshima University Hospital in December 2022 utilizing the hinotori™ surgical robot system. Eleven other patients then underwent comparable procedures. The surgical team was certified to execute the procedure and had undergone official hinotori™ training. Results Preoperative diagnoses indicated five cases of endometrial cancer, four cases of uterine myoma and one case each of atypical endometrial hyperplasia, uterine adenosarcoma and high-grade cervical intraepithelial neoplasia. Median age and body mass index were 51 (range: 38–70) years and 26.9 (range: 17.3–33.3) kg/m2, respectively. Median roll-in, cockpit and operation times were 15 (range: 10–18), 161 (range: 110–225) and 214 (range: 154–287) min, respectively. The median blood loss was 22 (range: 7–83) mL and conversion to laparotomy was not allowed. Only one patient had postoperative pelvic region infection. The median length of hospital stay was 6 (range: 4–10) days. Conclusion Based on our experience with presented 12 cases, robotic surgery with the hinotori™ is a feasible technique of minimally invasive surgery for gynecological diseases.

Radical prostatectomy using the Hinotori robot‐assisted surgical system: Docking‐free design may contribute to reduction in postoperative pain

“…[2][3][4][5][6] In addition, there have been several reports of robot-assisted surgery using the Hinotori system in gastrointestinal surgery and gynaecology. [7][8][9][10] Furthermore, preclinical research aimed at establishing a telesurgical platform using the Hinotori telesurgical system is also underway. 11 The Hinotori system is expected to further expand its market share in the future.…”

“…In urology, not only robot‐assisted radical prostatectomy, but also radical nephrectomy, partial nephrectomy, nephroureterectomy, and adrenalectomy have been performed using the Hinotori system 2–6 . In addition, there have been several reports of robot‐assisted surgery using the Hinotori system in gastrointestinal surgery and gynaecology 7–10 . Furthermore, preclinical research aimed at establishing a telesurgical platform using the Hinotori telesurgical system is also underway 11 .…”

Robotic gastrectomy using hinotori™ Surgical Robot System: Initial case series

“…11,12,23 Furthermore, the new robot system has also been applied in the field of colonic, rectal and pancreatic surgery, and for gynecological surgeries. [24][25][26][27] At the time of writing, hinotori™ Surgical Robot System has no vessel sealing devices on the units, so an assistant operator is required to support lymphadenectomy using separate vessel sealing devices. We believe that we can prevent lymphatic fistula and reduce blood loss, especially in the part of supra-pancreatic area, by using a vessel sealing device similar to that of the da Vinci ® robotic surgical system.…”

Revolutionary Advances of Robotic Surgery in Urology Field

“…Robot- ic-assisted laparoscopic total prostatectomies using the Hinotori system have shown promising results 12) . Currently, Hinotori is also utilized in surgeries within the surgical and gynecological fields [13][14][15] . The author has performed robot-assisted laparoscopic radical prostatectomies using Hinotori.…”