Robotic surgery vs laparoscopic surgery in patients with diagnosis of endometriosis: a systematic review and meta-analysis

Restaino, Stefano; Mereu, Liliana; Finelli, Angelo; Spina, Maria Roberta; Marini, Giulia; Catena, Ursula; Turco, Luigi Carlo; Moroni, Rossana; Milani, Michela; Cela, Vito; Scambia, Giovanni; Fanfani, Francesco

doi:10.1007/s11701-020-01061-y

Cited by 44 publications

(36 citation statements)

References 25 publications

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“…Over time RALS has gained importance in gynecologic surgery, both for malignant and benign conditions, including deep infiltrating endometriosis. 17,18 advantages and theoretically improving surgeon gesture, comfort, and performance, evidence of its applicability for complex deep infiltrating endometriosis surgery is limited. 9 Previous comparative studies on RALS and S-LPS approaches for pelvic endometriosis reported controversial data regarding OT.…”

Section: Discussionmentioning

confidence: 99%

“…Over time RALS has gained importance in gynecologic surgery, both for malignant and benign conditions, including deep infiltrating endometriosis. 17 , 18 Despite RALS having several technological advantages and theoretically improving surgeon gesture, comfort, and performance, evidence of its applicability for complex deep infiltrating endometriosis surgery is limited. 9…”

Section: Discussionmentioning

confidence: 99%

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Comparison of perioperative outcomes between standard laparoscopic and robot‐assisted approach in patients with rectosigmoid endometriosis

Raimondo

Alboni

Orsini

et al. 2021

Acta Obstet Gynecol Scand

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of perioperative outcomes between standard laparoscopic and robot‐assisted approach in patients with rectosigmoid endometriosis

Raimondo

Alboni

Orsini

et al. 2021

Acta Obstet Gynecol Scand

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“…Several studies have compared laparoscopic or robotically assisted methods in the surgical treatment of endometriosis [ 126 , 127 , 128 ].…”

Section: Treatmentmentioning

confidence: 99%

Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature)

Smolarz

Szyłło

Romanowicz

2021

IJMS

165

112

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Endometriosis is a “mysterious” disease and its exact cause has not yet been established. Among the etiological factors, congenital, environmental, epigenetic, autoimmune and allergic factors are listed. It is believed that the primary mechanism of the formation of endometriosis foci is retrograde menstruation, i.e., the passage of menstrual blood through the fallopian tubes into the peritoneal cavity and implantation of exfoliated endometrial cells. However, since this mechanism is also observed in healthy women, other factors must also be involved in the formation of endometriosis foci. Endometriosis is in many women the cause of infertility, chronic pain and the deterioration of the quality of life. It also represents a significant financial burden on health systems. The article presents a review of the literature on endometriosis—a disease affecting women throughout the world.

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“… 9 , 10 A few studies compared laparoscopic or robotic-assisted approaches in the surgical management of endometriosis. 11 – 15 Robotic-assisted laparoscopic surgery is associated with a longer operation time than laparoscopic surgery, 12 , 16 but results are controversial. 11 , 14 The results of previous studies regarding benefits of robotic-assisted laparoscopy over conventional laparoscopy are somewhat heterogeneous.…”

Section: Introductionmentioning

confidence: 99%

Robotic-assisted laparoscopy is a feasible method for resection of deep infiltrating endometriosis, especially in the rectosigmoid area

et al. 2021

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Objective This study aimed to compare outcomes of mini-invasive surgical treatment of endometriosis, especially conventional laparoscopy with robotic-assisted laparoscopy, and to evaluate the quality of life. Methods One hundred three consecutive patients with endometriosis who had surgery from 2014 to 2017 owing to an indication of pain were enrolled in this retrospective study. The majority (n = 77, 75%) of patients underwent conventional laparoscopy and 18 (17%) had robotic-assisted laparoscopy. The quality of life was postoperatively assessed with a questionnaire. Results The rates of parametrectomy (76% vs. 45%,) and rectovaginal resection (28% vs. 4%) were significantly higher in robotic-assisted laparoscopy than in laparoscopy. Additionally, the rate of bowel operations (50% vs. 17%), especially the shaving technique, was higher in robotic-assisted laparoscopy surgery than in laparoscopy (39% vs. 8%). There was no difference in the rate of postoperative complications between laparoscopy and robotic-assisted laparoscopy. Most (91%) of the patients who answered the questionnaire felt that surgical treatment had relieved their pain. In the laparoscopic and robotic-assisted groups, 88% of respondents felt that their quality of life had improved after surgery. Conclusions This study suggests that robotic-assisted laparoscopy is a feasible method to resect deep infiltrating endometriosis, especially in the rectosigmoid area.

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Robotic surgery vs laparoscopic surgery in patients with diagnosis of endometriosis: a systematic review and meta-analysis

Cited by 44 publications

References 25 publications

Comparison of perioperative outcomes between standard laparoscopic and robot‐assisted approach in patients with rectosigmoid endometriosis

Comparison of perioperative outcomes between standard laparoscopic and robot‐assisted approach in patients with rectosigmoid endometriosis

Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature)

Robotic-assisted laparoscopy is a feasible method for resection of deep infiltrating endometriosis, especially in the rectosigmoid area

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