Novel Port Placement and 5-mm Instrumentation for

Background and Objectives: The value of robotic sur-gery for gynecologic procedures has been critically eval-uated over the past few years. Its drawbacks have been noted as larger port size, location of port placement, limited instrumentation, and cost. In this study, we de-scribe a novel technique for robotic-assisted laparoscopic hysterectomy (RALH) with 3 important improvements: (1) more aesthetic triangular laparoscopic port configuration, (2) use of 5-mm robotic cannulas and instruments, and (3) improved access around the robotic arms for the bedside assistant with the use of pediatric-length laparoscopic instruments. Methods: We reviewed a series of 44 women who un-derwent a novel RALH technique and concomitant proce-dures for benign hysterectomy between January 2008 an