TY - JOUR
T1 - Robotic-assisted laparoscopy in reproductive surgery
T2 - a contemporary review
AU - Jayakumaran, Jayapriya
AU - Patel, Sejal D.
AU - Gangrade, Bhushan K.
AU - Narasimhulu, Deepa Maheswari
AU - Pandian, Soundarya Ramanatha
AU - Silva, Celso
N1 - Publisher Copyright:
© 2017, Springer-Verlag London.
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Robotic surgery is a conceptual fusion of the conventional open surgery and the minimally invasive laparoscopic surgery. We reviewed the current role of robotic-assisted laparoscopy in the field of reproductive surgery by a literature search in PubMed database. We analyzed the reported advantages and limitations of the use of robotics in reproductive surgeries like myomectomy, tubal reanastomosis, endometriosis, ovarian tissue cryopreservation, and ovarian transposition. Overall, robotic assistance in reproductive surgery resulted in decreased blood loss, less post-operative pain, shorter hospital stay, and faster convalescence, whereas reproductive outcomes were similar to open/laparoscopic approaches. The main drawbacks of robotic surgery were higher cost and longer operating times. It is as safe and effective as the conventional laparoscopy and represents a reasonable alternate to abdominal approach. Procedures that are technically challenging with the conventional laparoscopy can be performed with robotic assistance. It has advantages of improved visualization and Endowrist™ movements allowing precise suturing. This helps to overcome the limitations of laparoscopy, especially in complicated procedures, and may shorten the steep learning curve in minimal invasive surgery. Randomized controlled trials looking at both short- and long-term outcomes are warranted to strengthen the role of robotic surgery in the field of reproductive surgery.
AB - Robotic surgery is a conceptual fusion of the conventional open surgery and the minimally invasive laparoscopic surgery. We reviewed the current role of robotic-assisted laparoscopy in the field of reproductive surgery by a literature search in PubMed database. We analyzed the reported advantages and limitations of the use of robotics in reproductive surgeries like myomectomy, tubal reanastomosis, endometriosis, ovarian tissue cryopreservation, and ovarian transposition. Overall, robotic assistance in reproductive surgery resulted in decreased blood loss, less post-operative pain, shorter hospital stay, and faster convalescence, whereas reproductive outcomes were similar to open/laparoscopic approaches. The main drawbacks of robotic surgery were higher cost and longer operating times. It is as safe and effective as the conventional laparoscopy and represents a reasonable alternate to abdominal approach. Procedures that are technically challenging with the conventional laparoscopy can be performed with robotic assistance. It has advantages of improved visualization and Endowrist™ movements allowing precise suturing. This helps to overcome the limitations of laparoscopy, especially in complicated procedures, and may shorten the steep learning curve in minimal invasive surgery. Randomized controlled trials looking at both short- and long-term outcomes are warranted to strengthen the role of robotic surgery in the field of reproductive surgery.
KW - Endometriosis
KW - Myomectomy
KW - Reproductive surgery
KW - Robotic-assisted laparoscopy
KW - Tubal reanastomosis
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U2 - 10.1007/s11701-017-0682-4
DO - 10.1007/s11701-017-0682-4
M3 - Review article
C2 - 28194637
AN - SCOPUS:85012306095
SN - 1863-2483
VL - 11
SP - 97
EP - 109
JO - Journal of Robotic Surgery
JF - Journal of Robotic Surgery
IS - 2
ER -