Ali Osman AkdemirBurak ZeybekBanu OzgurelMehmet Kemal ÖztekinFatih Şendaǧ2025-10-06201515534650, 155346691553-465010.1016/j.jmig.2014.06.006https://www.scopus.com/inward/record.uri?eid=2-s2.0-84924608534&doi=10.1016%2Fj.jmig.2014.06.006&partnerID=40&md5=9abbb1372f00c00e33954889dbcd0767https://gcris.yasar.edu.tr/handle/123456789/9926Study Objective: To analyze the learning curve of intracorporeal cuff suturing during robotic single-site total hysterectomy. Design: Retrospective study (Canadian Task Force classification II-1). Setting: University hospital. Patients: Twenty-four patients with benign indications for hysterectomy. Interventions: Twenty-four patients who underwent robotic single-site total hysterectomy to treat benign indications were included in the study. Surgical procedures were performed by a single surgeon with extensive experience in laparoscopy using the single-site platform of the da Vinci Surgical System. All vaginal cuffs were closed intracorporeally using semi-rigid single-site instruments. Measurements and Main Results: An exponential learning curve technique was used to analyze the learning curve. The overall mean (SD) vaginal cuff closure time was 23.2 (7) minutes. Learning curve analysis revealed a decrease in vaginal closure time after 14 procedures. Conclusions: An experienced robotic surgeon requires approximately 14 procedures to achieve proficiency in intracorporeal cuff suturing during robotic single-site total hysterectomy. Novel instruments that create perfect triangulation are needed to overcome the current challenges of suturing and to shorten operative time. © 2021 Elsevier B.V. All rights reserved.EnglishDa Vinci Single-site Platform, Intracorporeal Cuff Suturing, Laparoendoscopic Single-site Surgery, Learning Curve, Total Hysterectomy, Adult, Article, Clinical Article, Female, Follow Up, Gynecological And Obstetric Equipment, Hospitalization, Human, Hysterectomy, Incisional Hernia, Intracorporeal Cuff Suturing, Laparoscopic Surgical Instrument, Learning Curve, Middle Aged, Operation Duration, Pelvic Examination, Peroperative Complication, Postoperative Complication, Retrospective Study, Robotic Single Site Total Hysterectomy, Robotic Surgical Procedure, Skin Incision, Surgeon, Surgical Infection, Suturing Method, Triangulation, Vaginal Cuff, Wound Dehiscence, Wound Infection, Education, Evaluation Study, Feasibility Study, Laparoscopy, Length Of Stay, Procedures, Robotics, Treatment Outcome, Adult, Feasibility Studies, Female, Humans, Hysterectomy, Laparoscopy, Learning Curve, Length Of Stay, Middle Aged, Operative Time, Retrospective Studies, Robotics, Suture Techniques, Treatment Outcomeadult, Article, clinical article, female, follow up, gynecological and obstetric equipment, hospitalization, human, hysterectomy, incisional hernia, intracorporeal cuff suturing, laparoscopic surgical instrument, learning curve, middle aged, operation duration, pelvic examination, peroperative complication, postoperative complication, retrospective study, robotic single site total hysterectomy, robotic surgical procedure, skin incision, surgeon, surgical infection, suturing method, triangulation, vaginal cuff, wound dehiscence, wound infection, education, evaluation study, feasibility study, laparoscopy, length of stay, procedures, robotics, treatment outcome, Adult, Feasibility Studies, Female, Humans, Hysterectomy, Laparoscopy, Learning Curve, Length of Stay, Middle Aged, Operative Time, Retrospective Studies, Robotics, Suture Techniques, Treatment OutcomeArticle