Robot-assisted laparoscopy for deep infiltrating endometriosis: a retrospective French multicentric study (2008–2019) using the Society of European Robotic Gynecological Surgery endometriosis database

Saget, E; Peschot, Clémence; Bonin, Lucie; Belghiti, J.; Boulland, E; Ghesquière, Louise; Golfier, François; Hébert, Thomas P.; Kerbage, Yohan; Lavoué, Vincent; Merlot, Benjamin; Motton, Stéphanie; Ternynck, Camille; Vidal, Fabien; Gauthier, Tristan; Collinet, Pierre

doi:10.1007/s00404-022-06414-6

Cited by 4 publications

(5 citation statements)

References 30 publications

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“…This patient group only had minor complications (CD grade 1), which is in accordance with previous literature 28–31 . No serious adverse events were observed in any of the patients, which is surprising as previous studies have reported CD grade ≥3 in 2%–16% of all endometriosis cases in short‐term follow‐ups 32–35 . We believe our data support the continued use of the Medtronic Hugo™ RAS system, as we did not experience major complications or conversion of the surgery caused by the robotic system.…”

Section: Discussionsupporting

confidence: 90%

“… 28 , 29 , 30 , 31 No serious adverse events were observed in any of the patients, which is surprising as previous studies have reported CD grade ≥3 in 2%–16% of all endometriosis cases in short‐term follow‐ups. 32 , 33 , 34 , 35 We believe our data support the continued use of the Medtronic Hugo™ RAS system, as we did not experience major complications or conversion of the surgery caused by the robotic system. We look forward to studies with larger patient cohorts to illuminate further the safety and use of the system.…”

Section: Discussionsupporting

confidence: 63%

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First experience with the Hugo™ robot‐assisted surgery system for endometriosis: A descriptive study

Olsen,

Hartwell,

Dalsgaard

et al. 2023

Acta Obstet Gynecol Scand

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IntroductionThe Medtronic Hugo™ Robot‐assisted Surgery (RAS) system was recently approved for clinical use. We explored the safety and feasibility of this system for endometriosis surgery. The primary outcome was safe case completion without major surgical complications (Clavien–Dindo grade ≤2) and no conversion to open surgery or laparoscopy.Material and methodsSurgeries for endometriosis performed at the Department of Gynecology, Rigshospitalet, on the Medtronic Hugo™ RAS system were included. Two experienced robotic surgeons performed all surgeries with their usual robotic team. The variables included were patient demographics, peri‐ and postoperative data, complications and 30‐day readmission rate. We used the IDEAL framework 1/2a for surgical innovation in this descriptive study.ResultsThe first 12 patients were included. All cases were completed without intraoperative complications or conversion. Four patients experienced Clavien–Dindo grade 1 postoperative complications. No patients were re‐admitted within 30 days. Median docking time (17 minutes), console time (87.5 minutes), blood loss (40 mL) and length of hospital stay (1 day) were acceptable compared with previous literature.ConclusionsIn this pilot study, we found the Medtronic Hugo™ RAS system safe and feasible for robot‐assisted surgery for endometriosis. The advent of new robotic systems is welcomed to accelerate the development of technology that will advance surgical care for patients across the globe.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 63%

First experience with the Hugo™ robot‐assisted surgery system for endometriosis: A descriptive study

Olsen,

Hartwell,

Dalsgaard

et al. 2023

Acta Obstet Gynecol Scand

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“…Cluster 1 was related to the applications of robotic surgery in gynecologic benign diseases, mainly including endometriosis, uterine fibroids and infertility. A study based on one of the largest published samples assessed the perioperative outcomes of robotic-assisted laparoscopic surgery for the treatment of deep infiltrating endometriosis (DIE) (50). The researchers in this study did not observe an increase in bleeding or intra-operative or post-operative complications.…”

Section: Principal Resultsmentioning

confidence: 96%

Global research hotspots and trends on robotic surgery in obstetrics and gynecology: a bibliometric analysis based on VOSviewer

Xiao,

Li,

et al. 2024

Front. Surg.

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ObjectiveOver the last two decades, the quantity of papers published in relation to robotic surgery in obstetrics and gynecology has continued to grow globally. However, no bibliometric analysis based on VOSviewer has been performed to evaluate the past and present of global research in the field. In this study, we aimed to analyze the bibliometric characteristics of papers on robotic surgery in obstetrics and gynecology to reveal research hotspots and trends in this field.MethodsThe Web of Science Core Collection was searched for scientific papers on robotic surgery in obstetrics and gynecology published between January 1, 1998 and December 31, 2023. Bibliometric metadata of each selected paper was extracted for analysis. The results were visualized by VOSviewer (version 1.6.18).ResultsA total of 1,430 papers met the inclusion criteria. The United States had the highest total link strengths and contributed the most papers (n = 793). The Mayo Clinic produced the largest number of papers (n = 85), and Professor Pedro T Ramirez contributed the most papers (n = 36). The number of citations ranged from 0 to 295 with a total sum of 29,103. The Journal of Minimally Invasive Gynecology published the most relevant papers (n = 252). Keywords were classified into six clusters based on co-occurrence data, of which cluster 1, cluster 4 and cluster 6 had more main keywords with the largest average publication year.ConclusionsThis is the first VOSviewer-based bibliometric analysis of robotic surgery research in obstetrics and gynecology. The United States was the leading country, and the Journal of Minimally Invasive Gynecology was the most productive journal in the field. Scientists and institutions from around the world should push their boundaries to bring about deep collaboration. The main research topic has always been the use of robotic surgery in the treatment of gynecologic malignancies. More randomized controlled trials need to be conducted to compare surgical outcomes of robotic surgery with other surgical approaches. Robotic sacrocolpopexy for pelvic organ prolapse has become a new research hotspot, and robotic surgery for sentinel lymph node detection in gynecologic malignancies are more potential directions for future research.

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“…Not many studies compared conventional laparoscopy (CL) with robotic surgery in the treatment of endometriosis. Saget et al, assessing perioperative results of robotic surgery (RS) in the context of DE, observed no increases in blood loss or in peri- or postoperative complications [ 21 ]. Sotto et al, in a randomized clinical trial (RCT) with 73 women, observed no differences in operative time, blood loss, conversion to laparotomy, perioperative complications, and quality of life [ 22 ].…”

Section: Resultsmentioning

confidence: 99%

Robotic Surgery for Bladder Endometriosis: A Systematic Review and Approach

Oliveira,

Raymundo,

Pereira

et al. 2023

JCM

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Introduction: Women with bladder endometriosis often present with more advanced stages of endometriosis. Robotic surgery has emerged as a promising approach to the management of bladder endometriosis. This systematic review aims to analyze the current literature on robotic surgery for bladder endometriosis and describe our systematic approach to surgical treatment. Methods: This review followed the PRISMA guidelines, which ensured a comprehensive and transparent approach to selecting and evaluating relevant studies. We conducted a thorough literature search to identify studies that investigated the use of robotic surgery for bladder endometriosis. Relevant databases were searched, and inclusion and exclusion criteria were applied to select eligible studies. Data extraction and analysis were performed to assess the outcomes and effectiveness of robotic surgery for the treatment of bladder endometriosis. Results: We did not find any randomized clinical trials with the use of robotics in the treatment of bladder endometriosis. We found only two retrospective studies comparing robotic surgery with laparoscopy, and another retrospective study comparing robotic surgery, laparoscopy, and laparotomy in the treatment of bladder endometriosis. All the other 12 studies were solely case reports. Despite the lack of robust evidence in the literature, the studies demonstrated that robotic surgery is feasible and is associated with reduced postoperative pain, shorter hospital stays, and faster recovery. Conclusions: The utilization of robotic technology is a promising option for the surgical management of bladder endometriosis. We advocate a surgical systematic approach for the robotic treatment of bladder endometriosis. Robotic technology, with its 3D vision, instrumental degrees of freedom, and precision, particularly in suturing, may provide potential benefits over traditional laparoscopy.

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Robot-assisted laparoscopy for deep infiltrating endometriosis: a retrospective French multicentric study (2008–2019) using the Society of European Robotic Gynecological Surgery endometriosis database

Cited by 4 publications

References 30 publications

First experience with the Hugo™ robot‐assisted surgery system for endometriosis: A descriptive study

First experience with the Hugo™ robot‐assisted surgery system for endometriosis: A descriptive study

Global research hotspots and trends on robotic surgery in obstetrics and gynecology: a bibliometric analysis based on VOSviewer

Robotic Surgery for Bladder Endometriosis: A Systematic Review and Approach

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