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New research · Obstetrics & Gynecology
BMC women's health · 1d
Cohort studyBMC women's health · 2026

Robotic gynecologic surgery in Saudi Arabia: a descriptive retrospective cohort study of contemporary second-decade perioperative outcomes.

Khalid Akkour, Eman Alshehri, Hani Alhalal … Amal El Shabrawy
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Obstetrics & GynecologyCohort study

Robotic gynecologic surgery shows no conversions to open abdominal surgery.

Robotic gynecologic surgery in Saudi Arabia: a descriptive retrospective cohort study of contemporary second-decade perioperative outcomes.

Khalid Akkour et al. · BMC women's health · 2026
Background

Following early feasibility reports in 2010, this retrospective cohort study evaluates contemporary robotic gynecologic outcomes after ten years of institutional integration.

Purpose

We aim to assess perioperative safety and explore clinical trends associated with adverse events during this phase at a Saudi tertiary center.

Methods

A retrospective cohort study of robotic-assisted surgeries performed between January 2018 and December 2020 at King Saud University Medical City, Riyadh.

n = 112 patients
0%
Results
no robotic surgeries had to switch to open abdominal surgery
n = 112 patients
More results

Among 112 patients (mean age 56.9 years, mean BMI 36.67 kg/m2), 72.3% had prior abdominal surgeries and 54.5% had multiple comorbidities.

Indications included abnormal uterine bleeding (28.6%), endometrial cancer (27.7%), and hyperplasia (17%).

Median blood loss was 100 mL, and the mean operation duration was 142 minutes.

More results

Due to the low event rate (4.5%), a multivariate model could not reliably confirm independent risk factors.

“
Conclusion · 1 of 3

This second-decade experience demonstrates a high level of safety and technical feasibility in robotic gynecology.

Conclusion · 2 of 3

The zero conversion rate and low overall morbidity, even in high-BMI and multi-scarred patients, affirm robotic surgery as a dependable primary modality.

Conclusion · 3 of 3

The identified risk factors should be interpreted strictly as exploratory trends for perioperative planning rather than definitive predictors.

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