Robotic surgery in Gynecology: the present and the future

Park, JungYoon; Bak, SeongEun; Song, Jae-Yen; Chung, Youn-Jee; Yuki, Gen; Lee, Su Jeong; Mun, Jisu; Kim, Mee-Ran

doi:10.5468/ogs.23132

Cited by 4 publications

(3 citation statements)

References 56 publications

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“…The glove balloon at the tip of the suction irrigator was insufflated with 1 L of CO 2 gas inside the pelvic cavity to push the bowel upward and provide space for a gasless procedure. In addition, in line with the growing use of robotic technology in surgical fields that require basic height, such as the latest minimally invasive surgery, a surgical robot platform for NOTES has been proposed and preliminary testing is being conducted as a future technology [ 46 , 47 ].…”

Section: Vnotes In Benign Gynecologic Conditionsmentioning

confidence: 99%

Clinical relevance of vaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecology

Kim,

Yim,

Kim

2024

Obstet Gynecol Sci

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This study reviews the progress and recent advances in vaginal natural orifice transluminal endoscopic surgery (vNOTES) as a minimally invasive gynecologic procedure. The proposed advantages of vaginal natural orifice transluminal surgery include enhanced cosmesis due to a scarless procedure, better exposure compared with the pure vaginal approach, tolerable pain scores, fewer perioperative complications, and a shorter hospital stay. Recent advances in surgical instrumentation and technology have improved the feasibility of vNOTES as an innovative treatment option for gynecological conditions. However, technical challenges and training issues must be overcome before its widespread use. As a promising surgical innovation, further randomized comparative studies are required to clarify the safety and effectiveness of vNOTES in gynecology.

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Section: Vnotes In Benign Gynecologic Conditionsmentioning

confidence: 99%

Clinical relevance of vaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecology

Kim,

Yim,

Kim

2024

Obstet Gynecol Sci

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“…Robotic sacrocolpopexy (RSC) helps overcome the challenges of LSC by facilitating deep pelvic dissection and multiple intracorporeal suturing. Recently, RSC has become a robust surgical option for the treatment of vaginal apical segment prolapse [ 12 , 13 ]. In this review, we aim to discuss the surgical outcomes of various types of RSC in the treatment of POP, along with a recent literature review.…”

Section: Introductionmentioning

confidence: 99%

Robotic sacrocolpopexy

Mozon,

Kim,

Lee

2024

Obstet Gynecol Sci

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Pelvic organ prolapse (POP) is a common cause of gynecological disease in elderly women. The prevalence of POP has increased with an aging society. Abdominal sacrocolpopexy (ASC) is safer and more effective than the vaginal approach in patients with apical compartment POP because it has a higher anatomical cure rate, a lower recurrence rate, less dyspareunia, and improved sexual function. Laparoscopic sacrocolpopexy (LSC) has replaced ASC. Robotic sacrocolpopexy (RSC) also helps overcome the challenges of LSC by facilitating deep pelvic dissection and multiple intracorporeal suturing. The RSC is technically easy to apply, has a steep learning curve, and offers many advantages over the LSC. However, insufficient data led us to conclude that the LSC is superior overall, especially in terms of costeffectiveness. The present review provides insights into different aspects of RSC, highlighting the most common benefits and concerns of this procedure. We searched for eligible articles discussing this issue from January 2019 to March 2022 to reveal the outcomes of RSC.

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“…Currently, in Mexico, the FDA (U.S. Food and Drug Administration) and SSA (Mexican Ministry of Health, acronym in Spanish) have only approved the Da Vinci surgical system from the Intuitive Surgical (Sunnyvale, CA, USA) robotic platform [ 18 , 19 ]. However, there are few studies demonstrating experience in these surgical techniques in Latin American countries.…”

Section: Introductionmentioning

confidence: 99%

Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study

Bandala,

Cifuentes-Chacón,

Cortes-Vázquez

et al. 2024

JCM

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Background. Surgical management of endometriosis is essential, and deep endometriosis involves the invasion of endometrial tissue into other organs such as the bladder, ureters, and rectum. In Latin American countries, significant expertise has been achieved in conventional laparoscopy (CL); however, there is less experience in robot-assisted laparoscopy (RAL) because of the high cost of this technique. For this reason, studies comparing CL and RAL for the treatment of deep endometriosis in patients are scarce, making this study the first to share the experience of Mexican patients. Aim. The efficacy of CL vs. RAL in the management of deep endometriosis in Mexican patients was compared. Materials and Methods. We performed a retrospective and comparative study. We considered all patients treated with minimally invasive surgery for deep endometriosis between 2015 and 2023. Results. A total of 93 patients were included; 56 patients were treated with CL, and 37 patients were treated with RAL. A significant difference (p < 0.05) was observed in the postoperative length of stay, which was longer in patients treated with CL compared with those treated with RAL. Additionally, postoperative pain was less frequent in patients treated with RAL than in those treated with CL (p < 0.05). We did not observe a significant difference in operative time, blood loss, or perioperative complications between the two surgical techniques (p < 0.05). Conclusions. CL and RAL are effective methods for managing endometriosis in Mexican patients; however, RAL is beneficial for the treatment of deep endometriosis because patients experience postoperative pain less frequently than CL patients and have a shorter postoperative length of stay.

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Robotic surgery in Gynecology: the present and the future

Cited by 4 publications

References 56 publications

Clinical relevance of vaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecology

Clinical relevance of vaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecology

Robotic sacrocolpopexy

Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study

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