The Learning Curve and Surgical Outcome for Robotic Assisted Hysterectomy with Lymphadenectomy: A Case-Matched Controlled Comparison to Laparoscopy and Laparotomy for Treatment of Endometrial Cancer

Robot‐assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions – a systematic review

“…Several authors have assessed learning curves for robot‐assisted hysterectomies in benign as well as malignant indications . In 2011, Lim et al made a case‐matched control study of the first 122 cases of hysterectomy with lymphadenectomy performed by RAS, and compared them with the first 122 comparable cases performed laparoscopically and found sufficient skill acquirement at 24 robotic cases compared with 49 laparoscopic cases .…”

Robotic and Advanced Laparoscopic Surgical Training in European Gynecological Oncology Trainees

“…However, establishing infrastructure for ALS is less capital intensive than RS 16,18 and should be more feasible for cancer centers. Although all gynecological RS procedures can be performed by ALS, it has a steeper learning curve 16,19 and difficulty associated with the fulcrum effect operating with strait sticks. Many surgeons may feel ill equipped to perform these procedures safely.…”

“…The cases needed for the initial learning curve for proficiency in robotic hysterectomy for endometrial cancer with/without pelvic/para-aortic lymphadenectomy range from 20 to 33. 19,29,30 In addition, efficiency improves with time/ further practice. 30 The median number of cases performed by European trainees undergoing RS training was 24.5.…”

Role of a Double Docking to Improve Lymph Node Dissection: When Robotically Assisted Laparoscopy for Para-aortic Lymphadenectomy Is Associated to a Pelvic Procedure

“…If the interest of laparoscopy compared to open surgery in oncological indications has been already demonstrated, 9,17,18 the interest of robotic surgery has to be evaluated.…”