Systematic Review of Robotic Surgery in Gynecology: Robotic Techniques Compared With Laparoscopy and Laparotomy

Gala, Rajiv B.; Margulies, Rebecca U.; Steinberg, Adam C.; Murphy, Miles; Lukban, James; Jeppson, Peter C.; Aschkenazi, Sarit; Olivera, Cedric K.; South, Mary M.T.; Löwenstein, Lior; Schaffer, Joseph I.; Balk, Ethan M; Sung, Vivian W.

doi:10.1016/j.jmig.2013.11.010

Cited by 163 publications

(102 citation statements)

References 46 publications

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“…Robotic surgery has been demonstrated to have a relatively shorter learning curve and lower proficiency plateau than the conventional approaches. 17 A significant reduction in operative time, blood loss, and complication rates in the latter phase of the learning curvewas noted. 18 By our data, it is suggested that, with a proper caseload and training of the surgical team, a significantly better short-term operative parameters for the robotic approach could be achieved.…”

Section: Discussionmentioning

confidence: 88%

Comparing Robotic Surgery With Conventional Laparoscopy and Laparotomy for Cervical Cancer Management

Chen

Chiu

Chang

et al. 2014

Int J Gynecol Cancer

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Section: Discussionmentioning

confidence: 88%

Comparing Robotic Surgery With Conventional Laparoscopy and Laparotomy for Cervical Cancer Management

Chen

Chiu

Chang

et al. 2014

Int J Gynecol Cancer

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“…The classical Latzke's triad is comprised of intermittent serosanguinous vaginal discharge, pelvic pain secondary to tubal distension, and a pelvic mass. These field [12]. Although no randomized control trials were used to compare these 2 surgical techniques, controlled clinical trials support the use of robotic surgery in treating cervical cancer and endometrial cancer [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Incidental Fallopian Tube Adenocarcinoma Managed using Robotic Staging Surgery

Hh³

et al. 2016

Adv Robot Autom

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IntroductionPrimary fallopian tube tumors, which are rare gynecological malignancies that account for 0.14%-1.8% of genital malignancy, mainly affect women aged 40-65 years [1]. Diagnosing primary fallopian tube tumors is challenging, and case reports involving tumors managed using robot-assisted staging surgery are rare. However, we have reported here two cases with favourable prognoses of primary fallopian tube tumors managed using robot-assisted staging surgery. The robotic-assisted procedures using three robotic arms were performed with the patient in the lithotomy position under general anesthesia. A uterine manipulator was put in place, and a pneumoperitoneum was obtained. For setting of the robotic surgery, a 12 mm camera port was set 6 cm above the umbilicus, and 8 mm trocars were set 8 to 10 cm caudal-lateral to the scope for the side arms at each side of the patient, respectively. We placed a fenestrated bipolar forcep in left arm for electrocoagulation and a monopolar curved scissor in right arm for simultaneous cutting and electro-cauterization. A manually operated accessory trocar, which was set at 6 to 8 cm caudal-lateral to the left arm, was placed for lymph node extraction.The robotic arms were docked smoothly, and ascites was collected for cytological examination. The robotic surgery was performed with Endo Wrist instruments including monopolar curved scissors and fenestrated bipolar forceps. A grasper was used via the accessory port to assist in the surgical procedures. A survey of the operative field and evaluation of pelvic adhesion were performed. A frozen section of the suspected primary lesion was sent to confirm its malignancy prior to the main procedure. Surgical staging procedures including a total hysterectomy, bilateral salpingo-oophorectomy, bilateral pelvic retroperitoneal lymph node dissection, para-aortic lymph node dissection, appendectomy, omentectomy, peritoneal biopsies, and ascites cytology were performed. After the main procedures, the uterus was removed intact via the vagina, and transvaginal suturing was performed subsequently to close the vaginal cuff. After surgery, the dissected tissue was subjected to pathological examination. Case 1A 49-year-old woman visited the author's clinic for abnormal vaginal discharge. She had not had a previous surgery or any family history of ovarian malignancy. She had menarche at the age of 13 and has had a regular menstrual cycle since then. She had given birth to two children and had never had an abortion. A transvaginal ultrasound preformed in the clinic revealed ascites and a left adnexal heteroechoic mass, 7 × 3 cm. A P ap smear report revealed atypical glandular cells. On admission to the obstetrics and gynecology ward, an abdominal examination did not reveal anything significant; no abdominal palpable mass, abdominal pain or enlargement of lymph nodes were noted. A vaginal examination presented a free range of motion for the cervix with serosanguinous vaginal discharge but without palpable adnexal mass lesions. A pelvic CT scan show...

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“…7 “We try to use laparoscopic procedures for straightforward cases and for thinner women,” she explained. “For severely obese women, who may have difficult anatomy or adhesions, a good argument can be made in terms of health care utilization of resources to use robotic surgery.”…”

Section: Robotic-assisted Laparoscopymentioning

confidence: 99%

Minimally Invasive Techniques for Treating Gynecologic Malignancies

Fader¹

2017

J Natl Compr Canc Netw

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For many women with endometrial and cervical cancers, minimally invasive surgery represents an alternative standard of care to open abdominal procedures, with fewer complications, better postoperative quality of life, and overall lower cost. At the NCCN 22nd Annual Conference, Amanda N. Fader, MD, reviewed several minimally invasive strategies for treating gynecologic cancers, including conventional laparoscopy, robotic-assisted laparoscopy, sentinel lymph node technology, and single-port surgery; highlighted some of the contemporary literature on the role of these procedures; and explored some of the challenges and barriers to their successful performance.

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Systematic Review of Robotic Surgery in Gynecology: Robotic Techniques Compared With Laparoscopy and Laparotomy

Cited by 163 publications

References 46 publications

Comparing Robotic Surgery With Conventional Laparoscopy and Laparotomy for Cervical Cancer Management

Comparing Robotic Surgery With Conventional Laparoscopy and Laparotomy for Cervical Cancer Management

Incidental Fallopian Tube Adenocarcinoma Managed using Robotic Staging Surgery

Minimally Invasive Techniques for Treating Gynecologic Malignancies

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