The role of robotic surgery in gynecology

Advincula, Arnold P.; Song, A.H.

doi:10.1097/gco.0b013e328216f90b

Cited by 171 publications

(106 citation statements)

References 25 publications

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“…Through several modifications and advancements since then, robotic surgery has established itself as a valid option for patients undergoing certain surgical procedures. This first became widely adopted in the fields of urologic and gynecologic surgery, however, appropriate usage within these fields remains a hotly debated topic [2][3][4]. Since the report of the first robotic right hemicolectomy and sigmoid colectomy in 2002, the robot has established itself as an alternative approach to laparoscopy in colorectal surgery that is worth considering [2,5].…”

Section: Introductionmentioning

confidence: 99%

A Review of the Long-Term Oncologic Outcomes of Robotic Surgery Versus Laparoscopic Surgery for Colorectal Cancer

et al. 2015

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The goal of this review was to compare long-term oncologic outcomes of robotic versus laparoscopic resection of colorectal cancer. A literature search was performed using PubMed, EMBASE, Cochrane, and Medline (2002-2014). Search terms: laparoscopic, robotic, rectal, colon, surgery, oncologic, and outcomes. Studies comparing overall and disease free survival of robotic versus laparoscopic surgery for colorectal cancer were included. Meta-analysis was performed using OpenMeta[Analyst] for Windows 8. Five studies were identified reporting on overall survival, disease free survival, lymph node extraction, and distal and circumferential resection margin. Three hundred and seventeen patients underwent robotic resection and 368 underwent laparoscopic resection, with similar demographics. Operative times were longer with robotic resections, with no difference in estimated blood loss (EBL) or length of stay. The disease stage was distributed similarly in both groups. Similar numbers underwent neoadjuvant therapy. Laparoscopic resection was associated with 3.2 mm larger distal resection margins (p=0.04) and 2.2 more lymph nodes removed (p=0.001), but with equivalent circumferential resection margin status. Disease-free and overall survival was equivalent. Robotic and laparoscopic surgery for colorectal cancer offer comparable overall and disease free survival. Laparoscopic surgery offered a slight advantage in operative time, distal margin, and lymph node yield. Larger, prospective trials are needed to confirm the equivalence of these approaches.

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Section: Introductionmentioning

confidence: 99%

A Review of the Long-Term Oncologic Outcomes of Robotic Surgery Versus Laparoscopic Surgery for Colorectal Cancer

et al. 2015

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“…Actualmente la mayor parte de las publicaciones sobre experiencia en histerectomía laparoscópi-ca asistida por robot, es sobre la clasificada por la AAGL (American Association of Gynecologic Laparoscopists) como tipo IVE y III. La evidencia actual demuestra la seguridad y efectividad de la robótica en cirugía ginecológica (6,(58)(59)(60).…”

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Desarrollo De La Cirugía Laparoscopica: Pasado, Presente Y Futuro: Desde Hipócrates Hasta La Introducción De La Robótica en Laparoscopia Ginecológica

et al. 2008

Rev. chil. obstet. ginecol.

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RESUMENEntendemos por endoscopia a aquellos procedimientos que permiten diagnosticar y tratar patología por medio de instrumentos con los que se observa el interior del cuerpo humano. Los primeros tratamientos por medio de endoscopia fueron realizados por Hipócrates. Luego a través de la historia son múltiples los precursores, pioneros y tantos otros que entregaron invenciones que permitieron llegar hasta el laparoscopio moderno. Convirtiéndose en una herramienta indispensable en la actual cirugía ginecológica mínimamente invasiva. Las nuevas tecnologías han permitido desarrollar la robótica, de la cual no han permanecido ajenos los procedimientos laparoscópicos. Así es como nace el robot Da Vinci, que más que una tecnología del futuro, ya constituye una realidad del presente en la cirugía laparoscópica ginecológica. PALABRAS CLAVES: Laparoscopia, cirugía mínimamente invasiva, cirugía robótica, Da Vinci SUMMARYWe understand by endoscope to those procedures that allow diagnosing and treated pathologies by means of instruments with which we observed in the interior of the human body. The first treatments by means of endoscope were made by Hipocrates. Soon through history the precursors, pioneers and so many others are multiple that gave inventions that allowed arriving until modern laparoscopy; becoming an indispensable tool in the present minimally invasive gynecological surgery. The new technologies have allowed developing the robotics technologies of which the laparoscopy procedures have not remained out. Thus the Da Vinci robot has born, who more than a technology of the future already constitutes a reality of the present in the gynecological laparoscopic surgery.

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“…Since its introduction in the 1990s, robotic surgery has evolved from a novelty, with anticipated potential to overcome the limitations of endoscopic surgery, to the favored approach in several surgical disciplines such as urology [10], gynecology [11], and cardiothoracic surgery [12-16 • ]. The evolution of robotic head and neck surgery has expanded on the earlier achievements of endoscopic surgery for thyroid and parathyroid disease.…”

Section: Introductionmentioning

confidence: 99%

Robotic Surgery in Otolaryngology: Endocrine

Noureldine

Richmon

Tufano

et al. 2013

Curr Otorhinolaryngol Rep

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Over the last decade, robotic surgery has evolved from a medical curiosity, with anticipated potential to overcome the limitations of surgical endoscopy, to the favored procedure in several surgical specialties such as urology and gynecology. The application of robotic technology in head and neck endocrine surgery has recently expanded. Different approaches have lately been described that are intended to preserve the safety of these operations, while avoiding visible neck scars. This article aims to provide the reader with an overview of the current robotic approaches and their capability to assist surgeons in accomplishing remote-access thyroid and parathyroid surgery.

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The role of robotic surgery in gynecology

Cited by 171 publications

References 25 publications

A Review of the Long-Term Oncologic Outcomes of Robotic Surgery Versus Laparoscopic Surgery for Colorectal Cancer

A Review of the Long-Term Oncologic Outcomes of Robotic Surgery Versus Laparoscopic Surgery for Colorectal Cancer

Desarrollo De La Cirugía Laparoscopica: Pasado, Presente Y Futuro: Desde Hipócrates Hasta La Introducción De La Robótica en Laparoscopia Ginecológica

Robotic Surgery in Otolaryngology: Endocrine

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