[Gynecologic robotic surgery and our initial experience]

Abstract

Objective: The objective of this article is to review the recent adoption, experience, and applications of robot-assisted laparoscopy in gynecologic surgery.

Design: Review article.

Setting: Department of gynekology and obstetrics, University hospital and Medical faculty Palacky University, Olomouc.

Methods: Review of literature and our initial experience with robotic surgery.

Results: Robotic-assisted laparoscopic surgeries in gynecology include benign hysterectomy, myomectomy, tubal reanastomoses, radical hysterectomy, lymph node dissections, and sacrocolpopexies. Robot-assisted gynecologic surgery is often associated with longer operating room time but generally similar clinical outcomes, decreased blood loss, and shorter hospital stay when compared to open or laparoscopic surgery. We comment on our first 37 robot assisted procedures.

Conclusions: Well-designed, prospective studies with well-defined clinical, long-term outcomes, including complications, cost, pain, return to normal activity, and quality of life, are needed to fully assess the value of this new technology.