Robotic Surgery: The Future of Gynaecology

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2022 Nov 23

PMID 36415384

Authors

Isha Chandrakar

Sandhya Pajai

Shikha Toshniwal

Affiliations

Soon will be listed here.

Abstract

Robot-assisted surgery is the next phase in the process of transhumanism. Presently, robotic surgery is used in various benign and malignant gynaecological procedures. Robot-assisted surgery is significantly superior to open surgeries in post-surgical hospital stays; however, the difference is less significant in the case of laparoscopic surgery. Estimated blood loss in robotic surgery may be less. Regarding postoperative time, the results have been inconsistent due to variations in surgeons' experience. The primary drawbacks of robotic systems are their high installation and maintenance costs and lack of tactile feedback. Though robotic surgery allows easy dissection and fine suturing and has a faster recovery rate, to decide whether it should become the mainstream of gynaecological procedures, more randomized controlled trials are needed.

Citing Articles

Robotics-assisted surgery in gynecology: A single-center experience with the Hugo™ RAS system in India.

Anagani M, Ganga R, Paritala S Womens Health (Lond). 2025; 21:17455057241302581.

PMID: 40033655 PMC: 11877460. DOI: 10.1177/17455057241302581.

Feasibility and Safety of ArtiSential for Minimally Invasive Surgery in Early-stage Gynecologic Cancer: Results from the KGOG 4002/GYANT Study.

Kang O, Kim K, Lee K, Kim M, Hwang J, Kim T Gynecol Minim Invasive Ther. 2024; 13(4):253-259.

PMID: 39660243 PMC: 11626890. DOI: 10.4103/gmit.gmit_3_24.

Myomectomy: Choosing the Surgical Approach - A Systematic Review.

Paredes J, Lee C, Chua P Gynecol Minim Invasive Ther. 2024; 13(3):146-153.

PMID: 39184254 PMC: 11343351. DOI: 10.4103/gmit.gmit_152_23.

The importance of non-technical skills in robot-assisted surgery in gynaecology.

Wood T, Rahman R, Bainton T, Ahmed J, Raza A J Robot Surg. 2024; 18(1):192.

PMID: 38693443 DOI: 10.1007/s11701-024-01956-0.

Exploring the Evolution of Robotic Surgery in Obstetrics and Gynecology: Past, Present, and Future Perspectives.

Yadav P, Chaudhari K, Dave A, Sindhu A Cureus. 2024; 16(3):e57155.

PMID: 38681448 PMC: 11055614. DOI: 10.7759/cureus.57155.

References

Kwoh Y, Hou J, Jonckheere E, Hayati S . A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Trans Biomed Eng. 1988; 35(2):153-60. DOI: 10.1109/10.1354. View

Paraiso M, Jelovsek J, Frick A, Chen C, Barber M . Laparoscopic compared with robotic sacrocolpopexy for vaginal prolapse: a randomized controlled trial. Obstet Gynecol. 2011; 118(5):1005-1013. DOI: 10.1097/AOG.0b013e318231537c. View

Feuer G, Lakhi N, Barker J, Salmieri S, Burrell M . Perioperative and clinical outcomes in the management of epithelial ovarian cancer using a robotic or abdominal approach. Gynecol Oncol. 2013; 131(3):520-4. DOI: 10.1016/j.ygyno.2013.09.022. View

Bedaiwy M, Barakat E, Falcone T . Robotic tubal anastomosis: technical aspects. JSLS. 2011; 15(1):10-5. PMC: 3134681. DOI: 10.4293/108680810X12924466009041. View

Hinshaw S, Gunderson S, Eastwood D, Bradley W . Endometrial carcinoma: The perioperative and long-term outcomes of robotic surgery in the morbidly obese. J Surg Oncol. 2016; 114(7):884-887. DOI: 10.1002/jso.24417. View

Lauterbach R, Matanes E, Lowenstein L . Review of Robotic Surgery in Gynecology-The Future Is Here. Rambam Maimonides Med J. 2017; 8(2). PMC: 5415365. DOI: 10.5041/RMMJ.10296. View

Gunnala V, Setton R, Pereira N, Huang J . Robot-Assisted Myomectomy for Large Uterine Myomas: A Single Center Experience. Minim Invasive Surg. 2016; 2016:4905292. PMC: 4789429. DOI: 10.1155/2016/4905292. View

Ascher-Walsh C, Capes T . Robot-assisted laparoscopic myomectomy is an improvement over laparotomy in women with a limited number of myomas. J Minim Invasive Gynecol. 2010; 17(3):306-10. DOI: 10.1016/j.jmig.2010.01.011. View

Gallotta V, Chiantera V, Conte C, Vizzielli G, Fagotti A, Nero C . Robotic Radical Hysterectomy After Concomitant Chemoradiation in Locally Advanced Cervical Cancer: A Prospective Phase II Study. J Minim Invasive Gynecol. 2016; 24(1):133-139. DOI: 10.1016/j.jmig.2016.09.005. View

10.

Corrado G, Mereu L, Bogliolo S, Cela V, Freschi L, Carlin R . Robotic single site staging in endometrial cancer: A multi-institution study. Eur J Surg Oncol. 2016; 42(10):1506-11. DOI: 10.1016/j.ejso.2016.08.014. View

11.

Chen S, Li Z, Huang R, Xue H . Robot-assisted versus conventional laparoscopic surgery for endometrial cancer staging: A meta-analysis. Taiwan J Obstet Gynecol. 2016; 55(4):488-94. DOI: 10.1016/j.tjog.2016.01.003. View

12.

Maggioni A, Minig L, Zanagnolo V, Peiretti M, Sanguineti F, Bocciolone L . Robotic approach for cervical cancer: comparison with laparotomy: a case control study. Gynecol Oncol. 2009; 115(1):60-64. DOI: 10.1016/j.ygyno.2009.06.039. View

13.

Cantrell L, Mendivil A, Gehrig P, Boggess J . Survival outcomes for women undergoing type III robotic radical hysterectomy for cervical cancer: a 3-year experience. Gynecol Oncol. 2010; 117(2):260-5. DOI: 10.1016/j.ygyno.2010.01.012. View

14.

Sinno A, Fader A . Robotic-assisted surgery in gynecologic oncology. Fertil Steril. 2014; 102(4):922-32. DOI: 10.1016/j.fertnstert.2014.08.020. View

15.

Diver E, Hinchcliff E, Gockley A, Melamed A, Contrino L, Feldman S . Minimally Invasive Radical Hysterectomy for Cervical Cancer Is Associated With Reduced Morbidity and Similar Survival Outcomes Compared With Laparotomy. J Minim Invasive Gynecol. 2016; 24(3):402-406. DOI: 10.1016/j.jmig.2016.12.005. View

16.

Abelha M, Costa R, Lopes V, Reis R, Silva C . [Tubal reanastomosis: analysis of the results of 30 years of treatment]. Rev Bras Ginecol Obstet. 2009; 30(6):294-9. DOI: 10.1590/s0100-72032008000600005. View

17.

Asmar J, Even M, Carbonnel M, Goetgheluck J, Revaux A, Ayoubi J . Myomectomy by Robotically Assisted Laparoscopic Surgery: Results at Foch Hospital, Paris. Front Surg. 2015; 2:40. PMC: 4542131. DOI: 10.3389/fsurg.2015.00040. View

18.

Elliott C, Hsieh M, Sokol E, Comiter C, Payne C, Chen B . Robot-assisted versus open sacrocolpopexy: a cost-minimization analysis. J Urol. 2011; 187(2):638-43. DOI: 10.1016/j.juro.2011.09.160. View

19.

Bedient C, Magrina J, Noble B, Kho R . Comparison of robotic and laparoscopic myomectomy. Am J Obstet Gynecol. 2009; 201(6):566.e1-5. DOI: 10.1016/j.ajog.2009.05.049. View

20.

Liu H, Lu D, Wang L, Shi G, Song H, Clarke J . Robotic surgery for benign gynaecological disease. Cochrane Database Syst Rev. 2012; (2):CD008978. DOI: 10.1002/14651858.CD008978.pub2. View