Robotic surgery in gynaecology

Abstract

Robotic surgery has gained popularity in the last decade and the da Vinciâ Surgical System has been increasingly used for complex gynaecological surgery. The advantages of robotic surgery over conventional laparoscopic surgery are: greater degree of movement, precise dissection, 3D vision, tremor filtration and a shorter learning curve. The disadvantages are mainly the high cost and lack of haptic feedback. The current role of robotics in gynaecological surgery. Learning objectivesTo provide an overview of the advantages and drawbacks of robotic surgery over conventional open and laparoscopic surgery.To review the latest evidence and evaluate the role of robotics in general gynaecology and the subspecialties, including oncology and urogynaecology. To discuss training issues for individuals and for theatre teams. Ethical issuesIs it ethical to deny patients who would benefit from robotic surgery this option because of the cost?Robotic surgery offers all of the advantages of minimally invasive surgery, including decreased blood loss, quicker recovery, decreased length of hospital stay, less pain and ª 2016 Royal College of Obstetricians and Gynaecologists

Preclinical evaluation of a new robot-assisted surgical system for use in gynecology minimal access surgery

“…The port placement for RALH with current robotic systems usually requires two or three instrument ports, one endoscope port, and one accessory port [20]. Therefore, an operating surgeon is often limited to a narrow range of port configurations.…”

Artificial Intelligence for Emerging Technology in Surgery: Systematic Review and Validation

“…However, with the advent of AI and machine learning (ML) into the field, image analysis is up to 1,000 times faster than the manual method. Not only AI support makes analysis faster, but also processes the results of the scanning process to be more accurate and detail than traditional practices currently in use [16,20,21].…”

“…Most often, there has been an increased number of hospital stays or visitations and more severe issues after traditional surgeries. However, in robotic assisted surgery, a patient would experience minimal incision, better precision, less dependent of pain killer, minimal blood loss and blood transfusion, and reduced risk of infections after surgery [16]. There have also been successful surgery cases.…”

Benefits and Challenges of Robotic Pelvic Surgery in a Cardiac Transplant Recipient

“…The procedure was undertaken using a da Vinci robot, which has advantages over conventional laparoscopy, particularly reduced intraoperative blood loss and postoperative pain. 1 Other benefits of robotic surgery include smaller incisions, reduced infection and scarring, improved postoperative mobility, and overall faster recovery, whilst technical benefits include superior intraoperative visualisation of intra-abdominal structures, increased dexterity, and precision. 2 Intraoperatively, ports were placed in the supraumbilical region, left iliac fossa, and right and left hypochondria.…”