Robotic surgery in gynecologic oncology

Curr Opin Obstet Gynecol. 2009 Feb;21(1):25-30. doi: 10.1097/GCO.0b013e32831ffe8e.

Abstract

Purpose of review: Robotic surgery is rapidly taking the place of laparoscopy in many gynecologic oncology practices. Numerous practitioners have published their experience with this new technology. A review of their findings is timely and relevant.

Recent findings: The majority of case series of robotic surgery for hysterectomy and lymphadenectomy show that the procedure is feasible and at least comparable to laparoscopic surgery. Similarly, case series of robotic radical hysterectomy for cervical cancer also compare favorably to laparoscopic surgery. Less common procedures such as robotic trachelectomy, parametrectomy, and retroperitoneal lymphadenectomy have also been described. Numerous patient and practitioner advantages are discussed in this review.

Summary: Robotic surgery is a minimally invasive alternative to laparoscopy for the surgical treatment of endometrial cancer and cervical cancer. Its role in ovarian cancer is just starting to be explored.

Publication types

  • Review

MeSH terms

  • Endometrial Neoplasms / surgery*
  • Female
  • Humans
  • Hysterectomy / methods*
  • Lymph Node Excision / methods*
  • Robotics*
  • Uterine Cervical Neoplasms / surgery*