Robotic-assisted fertility sparing surgery in gynecological oncology

Best Pract Res Clin Obstet Gynaecol. 2024 Mar:93:102485. doi: 10.1016/j.bpobgyn.2024.102485. Epub 2024 Feb 15.

Abstract

While gynecological malignancies are more commonly diagnosed in elderly women, a substantial proportion of women will still be diagnosed with some type of gynecologic cancer during their reproductive age. Over 10% of newly diagnosed ovarian cancers and over one third of newly diagnosed cervical cancers involve women who are under the age of 45. This, coupled with the rising trend of women having their first child after the age of 35, has led to a concerning prevalence of complex fertility issues among women who have been diagnosed with cancer. Since the advent of robotic-assisted surgeries in gynecology, there has been a rise in the occurrence of these procedures. Fertility preserving gynecological surgeries require precise management in order to avoid fertility disorders. Therefore, we conducted a narrative review of robotic assisted fertility sparing surgery in gynecologic malignancies in order to highlight the role of this approach in preserving fertility.

Keywords: Fertility sparing surgery; Gynecological oncology; Robotic-assisted surgery.

Publication types

  • Review

MeSH terms

  • Aged
  • Child
  • Female
  • Fertility
  • Fertility Preservation* / methods
  • Genital Neoplasms, Female* / surgery
  • Humans
  • Ovarian Neoplasms* / surgery
  • Robotic Surgical Procedures*