The surgical approach and choice of drainage veins for uterus
transplantation living-donor surgery have been investigated to reduce
invasiveness. Of the 51 operations within 26 articles reviewed, the mean
operative time was shortest in the laparoscopic approach, and longest in
the robot-assisted approach. The mean blood loss was less in the
laparoscopic and robot-assisted approaches than in the open approach. In
cases where the uterine veins were not preserved, the mean operative
time was shortened by each approach and the mean blood loss decreased
with the laparoscopic and robot-assisted approaches. These procedures
may contribute to less invasive living-donor surgery.