Robotic surgery in gynecology

Česká verze

Authors: R. Pilka
Authors place of work: Porodnicko-gynekologická klinika, FN a LF Univerzity Palackého Olomouc přednosta: prof. MUDr. R. Pilka, Ph. D.
Published in the journal: Rozhl. Chir., 2017, roč. 96, č. 2, s. 54-62.
Category: Souhrnné sdělení

Summary

Introduction:
The aim of this review is to provide a general historical and contemporary perspective on the implementation and use of robot-assisted laparoscopy in gynecology as well as the experience gained to date.

Contents:
Robotic-assisted laparoscopic surgeries in gynecology include benign hysterectomy, myomectomy, radical hysterectomy, lymph node dissections or 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.

Conclusions:
Robotic surgery is associated with a shorter learning curve and has allowed a larger number of gynecologists to master complex laparoscopic procedures. Robot-assisted surgery offers all the benefits of minimally invasive surgery, making them accessible to a much broader spectrum of patients.

Key words:
robotic surgery –⁠ gynecology −⁠ hysterectomy –⁠ da Vinci −⁠ laparoscopy

Zdroje

1. Holub Z, Jabor A, Sprongl L, et al. Clinical outcome, inflammatory response and tissue trauma in total laparoscopic hysterectomy: comparison to laparoscopically-assisted vaginal hysterectomy. Ceska Gynekol 2002;67 : 315−20.

2. Berguer R, Forkey DL, Smith WD. Ergonomic problems associated with laparoscopic surgery. Surg Endosc 1999;13 : 466−8.

3. Pilka R, Dzvinčuk P. Gynekologická robotická chirurgie a naše první zkušenosti. Česká gynekologie 2010;75 : 512−17.

4. Worldwide A.A.M.I.G. AAGL position statement: Robotic-assisted laparoscopic surgery in benign gynecology. J Minim Invasive Gynecol 2013;20 : 2−9.

5. Reich H, Decaprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg 1989;2 : 213−16.

6. Reynolds RK, Advincula AP. Robot-assisted laparoscopic hysterectomy: technique and initial experience. Am J Surg 2006;191 : 555−60.

7. Nawfal AK, Orady M, Eisenstein D, et al. Effect of body mass index on robotic-assisted total laparoscopic hysterectomy. J Minim Invasive Gynecol 2011;18 : 328−32.

8. Paraiso MF. Robotic-assisted laparoscopic surgery for hysterectomy and pelvic organ prolapse repair. Fertil Steril 2014;102 : 933−8.

9. Laughlin SK, Stewart EA. Uterine leiomyomas: individualizing the approach to a heterogeneous condition. Obstet Gynecol 2011;117(2 Pt 1):396−403.

10. Semm K. New methods of pelviscopy (gynecologic laparoscopy) for myomectomy, ovariectomy, tubectomy and adnectomy. Endoscopy 1979;11 : 85−93.

11. Sinha R, Sanjay M, Bana R. A comparison of Robot-Assisted Laparoscopic Myomectomy (RALM) with Laparoscopic-Assisted Myomectomy (LAM). J Minim Invasive Gynecol 2015;22:S71.

12. Donnez J, Squifflet J. Complications, pregnancy and recurrence in a prospective series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules. Hum Reprod 2010;25 : 1949−58.

13. Fauconnier A, Fritel X, Chapron C. [Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications]. French, Gynecol Obstet Fertil 2009;37 : 57−69.

14. Fedele L, Bianchi S, Zanconato G, et al. Long-term follow-up after conservative surgery for rectovaginal endometriosis. Am J Obstet Gynecol 2004;190 : 1020−4.

15. Siesto G, Ieda N, Rosati R, et al. Robotic surgery for deep endometriosis: a paradigm shift. Int J Med Robot 2014;10 : 140−6.

16. Nygaard IE, McCreery R, Brubaker L, et al. Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol 2004;104 : 805−23.

17. Geller EJ, Siddiqui NY, Wu JM, et al. Short-term outcomes of robotic sacrocolpopexy compared with abdominal sacrocolpopexy. Obstet Gynecol 2008;112 : 1201−6.

18. Siddiqui NY, Geller EJ, Visco AG. Symptomatic and anatomic 1-year outcomes after robotic and abdominal sacrocolpopexy. Am J Obstet Gynecol 2012;206 : 435 e1−5.

19. Boggess JF, Gehrig PA, Cantrell L, et al. A comparative study of 3 surgical methods for hysterectomy with staging for endometrial cancer: robotic assistance, laparoscopy, laparotomy. Am J Obstet Gynecol 2008;199 : 360 e1−9.

20. Dargent D, Mathevet P. [Radical laparoscopic vaginal hysterectomy]. J Gynecol Obstet Biol Reprod (Paris) 1992;21 : 709−10.

21. Marchal F, Rauch P, Vandromme J, et al. Telerobotic-assisted laparoscopic hysterectomy for benign and oncologic pathologies: initial clinical experience with 30 patients. Surg Endosc 2005;19 : 826−31.

22. Persson J, Kannisto P, Bossmar T. Robot-assisted abdominal laparoscopic radical trachelectomy. Gynecol Oncol 2008;111 : 564−7.

23. Querleu D, Leblanc E, Castelain B. Laparoscopic pelvic lymphadenectomy in the staging of early carcinoma of the cervix. Am J Obstet Gynecol 1991;164 : 579−81.

24. Pilka R, Marek R, Taborska S, et al. [Robot assisted laparoscopic staging of endometrial cancer--comparison with standard laparotomy]. Czech, Ceska Gynekol 2011;76 : 462−8.

25. Seamon LG, Bryant SA, Rheaume PS, et al. Comprehensive surgical staging for endometrial cancer in obese patients: comparing robotics and laparotomy. Obstet Gynecol 2009;114 : 16−21.

26. Jemal A, Siegel R, Xu J, et al. Cancer statistics, 2010. CA Cancer J Clin 2010;60 : 277−300.

27. Querleu D, LeBlanc E. Laparoscopic infrarenal paraaortic lymph node dissection for restaging of carcinoma of the ovary or fallopian tube. Cancer 1994;73 : 1467−71.

28. Magrina JF, Zanagnolo V, Noble BN, et al. Robotic approach for ovarian cancer: perioperative and survival results and comparison with laparoscopy and laparotomy. Gynecol Oncol 2011;121 : 100−5.

29. Kroh M, El-Hayek K, Rosenblatt S, et al. First human surgery with a novel single-port robotic system: cholecystectomy using the Da Vinci Single-Site platform. Surg Endosc 2011;25 : 3566−73.

30. Bodurtha Smith AJ, Fader AN, Tanner EJ. Sentinel lymph node assessment in endometrial cancer: a systematic review and meta-analysis. Am J Obstet Gynecol 2016 (in press).