Robotic surgery in gynecology
Identifieur interne : 000601 ( Main/Exploration ); précédent : 000600; suivant : 000602Robotic surgery in gynecology
Auteurs : Rooma Sinha [Inde] ; Madhumati Sanjay [Inde] ; B. Rupa [Inde] ; Samita Kumari [Inde]Source :
- Journal of Minimal Access Surgery [ 0972-9941 ] ; 2015.
Abstract
FDA approved Da Vinci Surgical System in 2005 for gynecological surgery. It has been rapidly adopted and it has already assumed an important position at various centers where this is available. It comprises of three components: A surgeon's console, a patient-side cart with four robotic arms and a high-definition three-dimensional (3D) vision system. In this review we have discussed various robotic-assisted laparoscopic benign gynecological procedures like myomectomy, hysterectomy, endometriosis, tubal anastomosis and sacrocolpopexy. A PubMed search was done and relevant published studies were reviewed. Surgeries that can have future applications are also mentioned. At present most studies do not give significant advantage over conventional laparoscopic surgery in benign gynecological disease. However robotics do give an edge in more complex surgeries. The conversion rate to open surgery is lesser with robotic assistance when compared to laparoscopy. For myomectomy surgery, Endo wrist movement of robotic instrument allows better and precise suturing than conventional straight stick laparoscopy. The robotic platform is a logical step forward to laparoscopy and if cost considerations are addressed may become popular among gynecological surgeons world over.
Url:
DOI: 10.4103/0972-9941.147690
PubMed: 25598600
PubMed Central: 4290120
Affiliations:
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Rupa</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana</wicri:regionArea><wicri:noRegion>Telangana</wicri:noRegion></affiliation></author><author><name sortKey="Kumari, Samita" sort="Kumari, Samita" uniqKey="Kumari S" first="Samita" last="Kumari">Samita Kumari</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana</wicri:regionArea><wicri:noRegion>Telangana</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25598600</idno><idno type="pmc">4290120</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4290120</idno><idno type="RBID">PMC:4290120</idno><idno type="doi">10.4103/0972-9941.147690</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">002771</idno><idno type="wicri:Area/Pmc/Curation">002771</idno><idno type="wicri:Area/Pmc/Checkpoint">000364</idno><idno type="wicri:Area/Ncbi/Merge">003628</idno><idno type="wicri:Area/Ncbi/Curation">003628</idno><idno type="wicri:Area/Ncbi/Checkpoint">003628</idno><idno type="wicri:doubleKey">0972-9941:2015:Sinha R:robotic:surgery:in</idno><idno type="wicri:Area/Main/Merge">000601</idno><idno type="wicri:Area/Main/Curation">000601</idno><idno type="wicri:Area/Main/Exploration">000601</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Robotic surgery in gynecology</title><author><name sortKey="Sinha, Rooma" sort="Sinha, Rooma" uniqKey="Sinha R" first="Rooma" last="Sinha">Rooma Sinha</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana</wicri:regionArea><wicri:noRegion>Telangana</wicri:noRegion></affiliation></author><author><name sortKey="Sanjay, Madhumati" sort="Sanjay, Madhumati" uniqKey="Sanjay M" first="Madhumati" last="Sanjay">Madhumati Sanjay</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana</wicri:regionArea><wicri:noRegion>Telangana</wicri:noRegion></affiliation></author><author><name sortKey="Rupa, B" sort="Rupa, B" uniqKey="Rupa B" first="B." last="Rupa">B. Rupa</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana</wicri:regionArea><wicri:noRegion>Telangana</wicri:noRegion></affiliation></author><author><name sortKey="Kumari, Samita" sort="Kumari, Samita" uniqKey="Kumari S" first="Samita" last="Kumari">Samita Kumari</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Obstetrics and Gynecology, Apollo Health City, Hyderabad, Telangana</wicri:regionArea><wicri:noRegion>Telangana</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Minimal Access Surgery</title><idno type="ISSN">0972-9941</idno><idno type="eISSN">1998-3921</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>FDA approved Da Vinci Surgical System in 2005 for gynecological surgery. It has been rapidly adopted and it has already assumed an important position at various centers where this is available. It comprises of three components: A surgeon's console, a patient-side cart with four robotic arms and a high-definition three-dimensional (3D) vision system. In this review we have discussed various robotic-assisted laparoscopic benign gynecological procedures like myomectomy, hysterectomy, endometriosis, tubal anastomosis and sacrocolpopexy. A PubMed search was done and relevant published studies were reviewed. Surgeries that can have future applications are also mentioned. At present most studies do not give significant advantage over conventional laparoscopic surgery in benign gynecological disease. However robotics do give an edge in more complex surgeries. The conversion rate to open surgery is lesser with robotic assistance when compared to laparoscopy. For myomectomy surgery, Endo wrist movement of robotic instrument allows better and precise suturing than conventional straight stick laparoscopy. 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Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Advincula, Ap" uniqKey="Advincula A">AP Advincula</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steege, Jf" uniqKey="Steege J">JF Steege</name></author><author><name sortKey="Einarsson, Ji" uniqKey="Einarsson J">JI Einarsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ayala Ya Ez, R" uniqKey="Ayala Ya Ez R">R Ayala-Yáñez</name></author><author><name sortKey="Olaya Guzman, Ej" uniqKey="Olaya Guzman E">EJ Olaya-Guzmán</name></author><author><name sortKey="Haghenbeck Altamirano, J" uniqKey="Haghenbeck Altamirano J">J Haghenbeck-Altamirano</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Sinha, Rooma" sort="Sinha, Rooma" uniqKey="Sinha R" first="Rooma" last="Sinha">Rooma Sinha</name></noRegion><name sortKey="Kumari, Samita" sort="Kumari, Samita" uniqKey="Kumari S" first="Samita" last="Kumari">Samita Kumari</name><name sortKey="Rupa, B" sort="Rupa, B" uniqKey="Rupa B" first="B." last="Rupa">B. 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