Journal
CLINICAL OBSTETRICS AND GYNECOLOGY
Volume 62, Issue 4, Pages 733-748Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/GRF.0000000000000489
Keywords
robotic surgery; gynecology; minimally invasive surgery; controversies; MIS utilization; MIS costs
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Funding
- NCI NIH HHS [P50 CA098252] Funding Source: Medline
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minimally invasive surgery (MIS) is the standard approach to performance of several gynecologic procedures, including hysterectomy, gynecologic cancer staging procedures, myomectomy, pelvic organ prolapse repair, and select adnexal procedures. Robotic-assisted surgery, a computer-based MIS approach, has been adopted widely in the United States and several other countries. Robotics may offer technological and ergonomic benefits that overcome limitations associated with conventional laparoscopy; however, it is not clear that reported claims of superiority translate into improved gynecologic patient outcomes compared with other MIS approaches. This review critically appraises the evolving role, benefits, limitations, and controversies of robotic-assisted surgery utilization in benign and oncologic gynecology settings.
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