Minimally Invasive Surgery to Treat Gynecological Cancer

Abstract

Robotic-assisted surgery is a technological advancement derived from conventional laparoscopy, which facilitates the application of minimally invasive techniques for complex operations in the field of gynecological oncology. However, its introduction in gynecological cancer has been scarce in most hospitals worldwide. Most publications on robotic surgery are still retrospective or descriptive in nature. Some studies compare robotic-assisted laparoscopy with open procedures, which is a questionable analysis, because the advantages of minimally invasive surgery have been already well established. Robotic surgery should be directly compared with conventional laparoscopy to determine whether its additional direct and indirect costs are in accordance with some improvements within patient clinical outcomes. On the other hand, the role of robotic-assisted surgery in allowing more patients to receive the benefits of the minimally invasive approach should also be considered. The objective of this article was, therefore, to review the literature regarding the role of conventional and robotic-assisted laparoscopy to treat women with gynecologic cancer.

Comparison of analgesic requirements in robot-assisted versus conventional laparoscopic abdominal surgeries

“…[ 3 ] While the technical ease of resection and the surgeon's instrumentation freedom are discussed in detail in many studies, the anesthetic implications, analgesic needs, and patient outcomes are less studied. [ 4 5 6 7 8 9 ] There is a limitation in literature on the superiority of robot-assisted laparoscopy over conventional laparoscopy in postoperative pain in abdominal surgery.…”

Beyond the Square knot: A validation study for a novel knot-tying method named “inverse 9”

“…Minimally invasive surgery has gained popularity with the widespread adoption of the concept and the advancements in laparoscopy, leading to the gradual replacement of open surgery [ 1 ]. In comparison with traditional open surgery, minimally invasive surgery offers benefits such as smaller incisions, reduced tissue damage, decreased postoperative pain, and shorter hospital stays [ [2] , [3] , [4] ].…”

Robot-Assisted Surgery in the Treatment of Gynecological Carcinoma and Malignancies: Introduction to the da Vinci Robotic Surgery System

“…In fact, more aggressive and advanced malignancies are frequently identified in this group of patients. In the majority of instances, surgery is the usual treatment [ 6 ]. The presence of multiple medical conditions, which increases the risk of surgical complications, is the most important factor in the management of elderly patients [ 7 ].…”