Pioneering experience in roboticgynecological surgery in Peru: initialresults with the Da Vinci XI System –Clínica Internacional San Borja

Abstract

Introduction: Robotic-assisted gynecologic surgery offers advantages in submillimetric precision, 3D visualization, and enhanced instrument articulation over conventional laparoscopy. In June 2024, Clínica Internacional San Borja implemented the Da Vinci Xi system, marking the beginning of this technique in Peru. Objectives: To describe
the demographic characteristics, diagnoses, intraoperative findings, and surgical outcomes in the initial series of patients undergoing robotic gynecologic surgery.
Methods: A retrospective descriptive study was conducted from June to December 2024. Surgical reports and clinical records from 24 patients were analyzed for age, diagnosis, procedure type, operative time, estimated blood loss, and hospital stay.
Results: Median age was 41.7 years. The most common diagnosis was uterine
leiomyoma (83.3%). A total of 25 procedures were performed, mainly hysterectomies (58.3 %) and myomectomies (33.3 %). Mean operative time was 180.7 minutes, with
a mean blood loss of 101 mL. No major complications or conversions occurred. The average hospital stay was 2 days. One patient conceived following robotic surgery.
Conclusions: This initial experience with the Da Vinci Xi system supports the safety and effectiveness of robotic gynecologic surgery for complex cases, with satisfactory outcomes and minimal morbidity, advocating for its integration into national clinical practice.