Updates and controversies of robotic-assisted surgery in gynecologic surgery

Aaron Varghese, Marisol Doglioli, Amanda Nickles Nickles Fader

Research output: Contribution to journalReview article

Abstract

minimally invasive surgery (MIS) is the standard approach to performance of several gynecologic procedures, including hysterectomy, gynecologic cancer staging procedures, myomectomy, pelvic organ prolapse repair, and select adnexal procedures. Robotic-assisted surgery, a computer-based MIS approach, has been adopted widely in the United States and several other countries. Robotics may offer technological and ergonomic benefits that overcome limitations associated with conventional laparoscopy; however, it is not clear that reported claims of superiority translate into improved gynecologic patient outcomes compared with other MIS approaches. This review critically appraises the evolving role, benefits, limitations, and controversies of robotic-assisted surgery utilization in benign and oncologic gynecology settings.

Original languageEnglish (US)
JournalClinical Obstetrics and Gynecology
DOIs
StateAccepted/In press - Jan 1 2019

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Keywords

  • controversies
  • gynecology
  • minimally invasive surgery
  • MIS costs
  • MIS utilization
  • robotic surgery

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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