Endoskopie 2011; 20(2): 46-50

Robotic surgery in gynecology

prof.MUDr.Radovan Pilka, Ph.D.
Porodnicko-gynekologická klinika, FN a LF UP Olomouc

Objective: The objective of this article is to review the recent adoption, experience, and applications of robot-assisted laparoscopy in

gynecologic surgery.

Methods: Review of literature with robotic surgery.

Results: Robotic-assisted laparoscopic surgeries in gynecology include benign hysterectomy, myomectomy, tubal reanastomoses, radical

hysterectomy, lymph node dissections, and sacrocolpopexies. Robot-assisted gynecologic surgery is often associated with longer

operating room time but generally similar clinical outcomes, decreased blood loss, and shorter hospital stay when compared to open

or laparoscopic surgery.

Conclusions: Well-designed, prospective studies with well-defined clinical, long-term outcomes, including complications, cost, pain,

return to normal activity, and quality of life, are needed to fully assess the value of this new technology.

Keywords: robotic surgery, daVinci, laparoscopy

Published: September 1, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Pilka R. Robotic surgery in gynecology. Endoskopie. 2011;20(2):46-50.
Download citation

References

  1. Holub Z, Jabor A, Sprongl L, Fischlova D, Urbanek S. Clinical outcome, inflammatory response and tissue trauma in total laparoscopic hysterectomy: comparison to laparoscopically-assisted vaginal hysterectomy. Ceska Gynekol 2002; 67: 315-320.
  2. Mais V, Ajossa S, Guerriero S, Mascia M, Solla E, Melis GB. Laparoscopic versus abdominal myomectomy: a prospective, randomized trial to evaluate benefits in early outcome. Am J Obstet Gynecol 1996; 174: 654-658. Go to original source... Go to PubMed...
  3. Stylopoulos N, Rattner D. Robotics and ergonomics. Surg Clin North Am 2003; 83: 1321-1337. Go to original source... Go to PubMed...
  4. Berguer R, Forkey DL, Smith WD. Ergonomic problems associated with laparoscopic surgery. Surg Endosc 1999; 13: 466-468. Go to original source... Go to PubMed...
  5. Kwoh YS, Hou J, Jonckheere EA, Hayati S. A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Trans Biomed Eng 1988; 35: 153-160. Go to original source... Go to PubMed...
  6. Davies BL, Hibberd RD, Coptcoat MJ, Wickham JE. A surgeon robot prostatectomy - a laboratory evaluation. J Med Eng Technol 1989; 13: 273-277. Go to original source... Go to PubMed...
  7. Mantwill F, Schulz AP, Faber A, Hollstein D, Kammal M, Fay A, Jurgens C. Robotic systems in total hip arthroplasty - is the time ripe for a new approach? Int J Med Robot 2005; 1: 8-19. Go to original source... Go to PubMed...
  8. Mettler L, Ibrahim M, Jonat W. One year of experience working with the aid of a robotic assistant (the voice-controlled optic holder AESOP) in gynaecological endoscopic surgery. Hum Reprod 1998; 13: 2748-2750. Go to original source... Go to PubMed...
  9. Falcone T, Goldberg JM, Margossian H, Stevens L. Roboticassisted laparoscopic microsurgical tubal anastomosis: a human pilot study. Fertil Steril 2000; 73: 1040-1042. Go to original source... Go to PubMed...
  10. Magrina JF, Kho RM, Weaver AL, Montero RP, Magtibay PM. Robotic radical hysterectomy: comparison with laparoscopy and laparotomy. Gynecol Oncol 2008; 109: 86-91. Go to original source... Go to PubMed...
  11. Payne TN, Dauterive FR. A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice. J Minim Invasive Gynecol 2008; 15: 286-291. Go to original source... Go to PubMed...
  12. Donnez J, Nisolle M. Laparoscopic supracervical (subtotal) hysterectomy (LASH). J Gynecol Surg 1993; 9: 91-94. Go to original source... Go to PubMed...
  13. Dunn TS, Weaver A, Wolf D, Goodard W. Vaginal hysterectomies performed in a residency program: can we increase the number? J Reprod Med 2006; 51: 83-86. Go to PubMed...
  14. Machac J, Hegerova I. Personal experience with laparoscopic hysterectomy. Ceska Gynekol 1996; 61: 287-290.
  15. Zabransky F, Adamik Z, Gerych I, Svach M. Approach to hysterectomy from the aspect of vaginal and laparoscopic surgical techniques. Ceska Gynekol 1999; 64(Suppl 2): 28-30.
  16. Diaz-Arrastia C, Jurnalov C, Gomez G, Townsend C, Jr. Laparoscopic hysterectomy using a computer-enhanced surgical robot. Surg Endosc 2002; 16: 1271-1273. Go to original source... Go to PubMed...
  17. Advincula AP, Reynolds RK. The use of robot-assisted laparoscopic hysterectomy in the patient with a scarred or obliterated anterior cul-de-sac. Jsls 2005; 9: 287-291. Go to PubMed...
  18. Beste TM, Nelson KH, Daucher JA. Total laparoscopic hysterectomy utilizing a robotic surgical system. Jsls 2005; 9: 13-15. Go to PubMed...
  19. Fiorentino RP, Zepeda MA, Goldstein BH, John CR, Rettenmaier MA. Pilot study assessing robotic laparoscopic hysterectomy and patient outcomes. J Minim Invasive Gynecol 2006; 13: 60-63. Go to original source... Go to PubMed...
  20. Reynolds RK, Advincula AP. Robot-assisted laparoscopic hysterectomy: technique and initial experience. Am J Surg 2006; 191: 555-560. Go to original source... Go to PubMed...
  21. Nezhat C, Saberi NS, Shahmohamady B, Nezhat F. Robotic-assisted laparoscopy in gynecological surgery. Jsls 2006; 10: 317-320.
  22. Doridot V, Dubuisson JB, Chapron C, Fauconnier A, Babaki-Fard K. Recurrence of leiomyomata after laparoscopic myomectomy. J Am Assoc Gynecol Laparosc 2001; 8: 495-500. Go to original source... Go to PubMed...
  23. Advincula AP, Song A, Burke W, Reynolds RK. Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc 2004; 11: 511-518. Go to original source... Go to PubMed...
  24. Advincula AP, Xu X, Goudeau St, Ransom SB. Robot-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparison of short-term surgical outcomes and immediate costs. J Minim Invasive Gynecol 2007; 14: 698-705. Go to original source... Go to PubMed...
  25. Barber MD, Visco AG, Weidner AC, Amundsen CL, Bump RC. Bilateral uterosacral ligament vaginal vault suspension with site-specific endopelvic fascia defect repair for treatment of pelvic organ prolapse. Am J Obstet Gynecol 2000; 183: 1402-1410; discussion 1410-1411. Go to original source... Go to PubMed...
  26. Benson JT, Lucente V, McClellan E. Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 1996; 175: 1418-1421; discussion 1421-1422. Go to original source... Go to PubMed...
  27. Halaska M, Sottner O, Maxova K, Krofta KL, Svabik K, Rittstein T, Micoch M, Krcmar M, Halaska MJ, Adamik Z, Mala I, Martan A, Feyereisl J. Prolene mesh comparing with sacrospinal fixation in the treatment of genital prolapse in women. Prospective multicentre randomized study. Ceska Gynekol; 75: 126-132.
  28. Jia X, Glazener C, Mowatt G, MacLennan G, Bain C, Fraser C, Burr J. Efficacy and safety of using mesh or grafts in surgery for anterior and/or posterior vaginal wall prolapse: systematic review and meta-analysis. Bjog 2008; 115: 1350-1361. Go to original source... Go to PubMed...
  29. Kudela M, Ondrova D, Pilka R, Dzvincuk P. Sacrospinous fixation of the prolapsed vagina after the Miyazaki hysterectomy procedure. Ceska Gynekol 2004; 69: 493-497.
  30. Maher C, Baessler K, Glazener CM, Adams EJ, Hagen S. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 2007: CD004014. Go to original source...
  31. Agarwala N, Hasiak N, Shade M. Laparoscopic sacral colpopexy with Gynemesh as graft material - experience and results. J Minim Invasive Gynecol 2007; 14: 577-583. Go to original source... Go to PubMed...
  32. Paraiso MF, Walters MD, Rackley RR, Melek S, Hugney C. Laparoscopic and abdominal sacral colpopexies: a comparative cohort study. Am J Obstet Gynecol 2005; 192: 1752-1758. Go to original source... Go to PubMed...
  33. Elliott DS, Frank I, Dimarco DS, Chow GK. Gynecologic use of robotically assisted laparoscopy: Sacrocolpopexy for the treatment of high-grade vaginal vault prolapse. Am J Surg 2004; 188: 52S-56S. Go to original source... Go to PubMed...
  34. Visco AG, Advincula AP. Robotic gynecologic surgery. Obstet Gynecol 2008; 112: 1369-1384. Go to original source... Go to PubMed...
  35. Marchal F, Rauch P, Vandromme J, Laurent I, Lobontiu A, Ahcel B, Verhaeghe JL, Meistelman C, Degueldre M, Villemot JP, Guillemin F. Telerobotic-assisted laparoscopic hysterectomy for benign and oncologic pathologies: initial clinical experience with 30 patients. Surg Endosc 2005; 19: 826-831. Go to original source... Go to PubMed...
  36. Boggess JF, Gehrig PA, Cantrell L, Shafer A, Ridgway M, Skinner EN, Fowler WC. A comparative study of 3 surgical methods for hysterectomy with staging for endometrial cancer: robotic assistance, laparoscopy, laparotomy. Am J Obstet Gynecol 2008; 199: 360 e1-9. Go to original source... Go to PubMed...
  37. Bartos P, Struppl D, Trhlik M, Czudek S, Skrovina M, Adamcik L, Soumarova R. Da vinci robotic surgery in gynaecological oncology: a critical interim appraisal. Ceska Gynekol 2007; 72: 354-359.
  38. Pilka R, Dzvinčuk P. Gynekologická robotická chirurgie a naše první zkušenosti. Česká gynekologie 2010; 75: 512-517. Go to PubMed...
  39. Judkins TN, Oleynikov D, Stergiou N. Objective evaluation of expert and novice performance during robotic surgical training tasks. Surg Endosc 2009; 23: 590-597. Go to original source... Go to PubMed...
  40. Vlaovic PD, Sargent ER, Boker JR, Corica FA, Chou DS, Abdelshehid CS, White SM, Sala LG, Chu F, Le T, Clayman RV, McDougall EM. Immediate impact of an intensive one-week laparoscopy training program on laparoscopic skills among postgraduate urologists. Jsls 2008; 12: 1-8. Go to PubMed...
  41. Pitter MC, Anderson P, Blissett A, Pemberton N. Roboticassisted gynaecological surgery-establishing training criteria; minimizing operative time and blood loss. Int J Med Robot 2008; 4: 114-120. Go to original source... Go to PubMed...
  42. Lenihan JP, Jr., Kovanda C, Seshadri-Kreaden U. What is the learning curve for robotic assisted gynecologic surgery? J Minim Invasive Gynecol 2008; 15: 589-594. Go to original source... Go to PubMed...




Endoscopy

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.