Robotics and Gynecologic Oncology: Review of the Literature

Cho, Jennifer E; Nezhat, Farr

doi:10.1016/j.jmig.2009.06.024

Cited by 80 publications

(41 citation statements)

References 30 publications

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“…[24][25][26][27][28] Studies suggest that robot assistance facilitates laparoscopic surgery and has great impact on improving minimally invasive surgical techniques. 24,28 Early evidence demonstrates that robot assistance may allow a surgeon to perform complicated minimally invasive procedures faster and more accurately than with laparoscopy. 29 Moreover, the growing application of preoperative simulator technology in surgical robotics may decrease the learning curve of robot-assisted operations.…”

Section: Commentmentioning

confidence: 99%

Robotic Gastrectomy as an Oncologically Sound Alternative to Laparoscopic Resections for the Treatment of Early-Stage Gastric Cancers

et al. 2011

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827 patients with gastric cancer underwent 236 robotic and 591 laparoscopic radical gastrectomies with curative intent. The patients' data were prospectively collected and retrospectively analyzed. Main Outcome Measures:We performed a comparative analysis between the robotic surgery group and laparoscopic surgery group for preoperative patient characteristics, intraoperative factors, and postoperative morbidity and mortality.Results: The robotic group was younger than the laparoscopic group, but other preoperative patient charac-teristics did not differ. The mean operative time for the robotic group (219.5 minutes) was on average 49 minutes longer than the laparoscopic group (170.7 minutes) (P Ͻ .001), while mean blood loss was significantly less in the robotic group (91.6 mL vs 147.9 mL; P=.002). The robotic group had mortality of 0.4% and morbidity of 11.0%, comparable with those of the laparoscopic group (P Ͼ .05). The number of lymph nodes retrieved per level was adequate in both groups and did not differ significantly. Robotic D1ϩ␣ (n = 5), D1ϩ␤ (n=126), and D2 (n=105) dissections retrieved 27.2, 36.7, and 42.4 mean numbers of lymph nodes, respectively. Except for 3 cases in the laparoscopic group, all specimens had negative margins.Conclusions: Our largest comparative study demonstrates robotic gastrectomy to have better short-term and comparable oncologic outcomes compared with laparoscopic gastrectomy. A robotic approach to gastric cancer is a promising alternative to laparoscopic surgery.

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Section: Commentmentioning

confidence: 99%

Robotic Gastrectomy as an Oncologically Sound Alternative to Laparoscopic Resections for the Treatment of Early-Stage Gastric Cancers

et al. 2011

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“…In a recent review comparing robot-assisted surgery, traditional laparoscopy and laparotomy, the incidences of lymphocysts were 8, 6 and 0.7%, respectively, for patients who had surgery for cervical cancer, with a higher number of lymph nodes removed in the robotics group [12]. At our institution, the incidence of lymphocysts after robot-assisted radical hysterectomy was 8% at 3 months' follow-up and 5% one year after the intervention [13].…”

Section: Introductionmentioning

confidence: 69%

“…Since the introduction of robot-assisted laparoscopic surgery, an increased use of this new technique is seen for surgical treatment of gynecologic malignancies [12]. In a recent review comparing robot-assisted surgery, traditional laparoscopy and laparotomy, the incidences of lymphocysts were 8, 6 and 0.7%, respectively, for patients who had surgery for cervical cancer, with a higher number of lymph nodes removed in the robotics group [12].…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted removal of a lymphocyst causing severe neuralgic pain and adductor atrophy

et al. 2011

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Following a robot-assisted radical hysterectomy and pelvic lymphadenectomy for early-stage cervical cancer, a 53-year-old woman was diagnosed with a 50-mm right-sided pelvic lymphocyst by the use of vaginal ultrasonography. She gradually developed intermittent increasingly severe neuralgic pain mimicking a meralgia paresthetica. A neurolysis was proposed by the neurosurgeons. Awaiting this intervention, a pelvic MRI revealed a partial atrophy of the ipsilateral adductor muscles and a probable entrapment of the obturator nerve by the lymphocyst as an alternative cause of the pain. Using a four-arm da Vinci-S-HD robot the lymphocyst, located deep in the right obturator fossa and surrounding the obturator nerve, was completely removed, sparing the partially atrophic obturator nerve. No bleeding occurred. The surgery time was 95 min. At 10 months' follow-up the patient was relieved of her pain with no signs of a new lymphocyst.

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“…Cho and Nezhat in their review of 754 case identified complication rates of 10.5%, 12.2%, and 44.6% in robotic hysterectomy, laparoscopic hysterectomy, and abdominal hysterectomy, respectively. [67] In the open cohort, the majority of complications were related to wound infections and bowel dysmotility. There was also a lower rate of conversion in the robotic group when compared to the laparoscopic group.…”

Section: Comparison Of Robotic Surgery Versus Conventional Laparoscopmentioning

confidence: 99%

Robotic Surgery in the Management of Endometrial Cancer

Williams¹,

Villeneuve²,

Robinson-Bennett³

2016

Gynecologic Cancers - Basic Sciences, Clinical and Therapeutic Perspectives

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Endometrial cancer remains the most common gynecologic malignancy in the Unites States and Western Europe. It has been estimated that in 2014, about 52, 630 new cases of endometrial cancer was diagnosed and about 8,590 died from the disease. Prior to 1988, endometrial cancer was staged clinically. Since that time surgical staging has been adopted. With the advancement in technology, the vast majority of cases are being staged and treated surgically via minimally invasive approaches. Conventional laparoscopy has been a major advancement in staging and treatment of uterine cancers. However, technical challenges such as 2-D imaging, rigid instruments, and lack of precision and surgeon fatigue did not translate into widespread adoption of this technique. With the advent of computer-enhanced robotic telesurgery, this has dramatically changed the surgical management and staging of endometrial cancer.

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Robotics and Gynecologic Oncology: Review of the Literature

Cited by 80 publications

References 30 publications

Robotic Gastrectomy as an Oncologically Sound Alternative to Laparoscopic Resections for the Treatment of Early-Stage Gastric Cancers

Robotic Gastrectomy as an Oncologically Sound Alternative to Laparoscopic Resections for the Treatment of Early-Stage Gastric Cancers

Robot-assisted removal of a lymphocyst causing severe neuralgic pain and adductor atrophy

Robotic Surgery in the Management of Endometrial Cancer

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