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0001). For oncological cases, the 2 techniques had comparable intra- and postoperative outcomes and oncological accuracy. In this study, we reported that PSS-H is comparable to LPS-H for intra- and perioperative outcomes and postoperative pain, while PSS-H seems to be superior in cosmetic outcomes and patient satisfaction. PSS-H may represent a valid alternative in ultra-MIS for benign gynecological conditions and low-/intermediate-risk endometrial cancer. In this study, we reported that PSS-H is comparable to LPS-H for intra- and periop