Robotic-assisted laparoscopy in reproductive surgery: a contemporary review

Jayapriya Jayakumaran, Sejal D. Patel, Bhushan K. Gangrade, Deepa Maheswari Narasimhulu, Soundarya Ramanatha Pandian, Celso Silva

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)97-109
Number of pages13
JournalJournal of Robotic Surgery
Volume11
Issue number2
DOIs
StatePublished - Jun 1 2017

Keywords

  • Endometriosis
  • Myomectomy
  • Reproductive surgery
  • Robotic-assisted laparoscopy
  • Tubal reanastomosis

ASJC Scopus subject areas

  • Surgery
  • Health Informatics

Fingerprint Dive into the research topics of 'Robotic-assisted laparoscopy in reproductive surgery: a contemporary review'. Together they form a unique fingerprint.

  • Cite this

    Jayakumaran, J., Patel, S. D., Gangrade, B. K., Narasimhulu, D. M., Pandian, S. R., & Silva, C. (2017). Robotic-assisted laparoscopy in reproductive surgery: a contemporary review. Journal of Robotic Surgery, 11(2), 97-109. https://doi.org/10.1007/s11701-017-0682-4