As the only robotic device with FDA approval for gynecological surgery, the da Vinci ? Surgical System domi nates robot-assisted surgery in the field. Benefits to the Surgeon include decreased risk of neck and back injury secondary to improved ergonomics. However, patients benefit greatly due to decreased length of stay, decreased blood loss and analgesic requirements. Unfortunately the initial economic impact of purchasing and maintaining a robot is great but must be balanced with the potential savings from reduced length of stay and earlier return to normal activity. This article looks at the indications for robot-assisted surgery in gynecology. Assessing the efficacy of this modality compared to both straight stick (Laparoscopy) and open procedures. We discuss the impact and implications for surgical training imposed by robotic surgery. Furthermore, we assess the safety of robotic surgery from both the surgeons prospective and as a surgical modality.
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T. N. Payne and F. R. Dauterive, “A Comparison of Total Laparoscopic Hysterectomy to Robotically Assisted Hysterectomy: Surgical Outcomes in a Community Practice,” Journal of Minimally Invasive Gynecology, Vol. 15, No. 3, 2008, pp. 286-291. http://dx.doi.org/10.1016/j.jmig.2008.01.008
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B. Sert and V. Abeler, “Robotic Radical Hysterectomy in Early-Stage Cervical Carcinoma Patients, Comparing Results with Total Laparoscopic Radical Hysterectomy Cases. The Future Is Now?” International Journal of Medical Robotics and Computer Assisted Surgery, Vol. 3, No. 3, 2007, pp. 224-228. http://dx.doi.org/10.1002/rcs.152
A. R. Shashoua, D. Gill and S. R. Locher, “Robotic-Assisted Total Laparoscopic Hysterectomy versus Conventional Total Laparoscopic Hysterectomy,” JSLS: Journal of the Society of Laparoendoscopic Surgeons, Vol. 13, No. 3, 2009, pp. 364-369.
E. Lambaudie, F. Narducci, M. Bannier, C. Jauffret, N. Pouget, E. Leblanc and G. Houvenaeghel, “Role of RobotAssisted Laparoscopy in Adjuvant Surgery for Locally Advanced Cervical Cancer,” European Journal of Surgical Oncology, Vol. 36, No. 4, 2010, pp. 409-413. http://dx.doi.org/10.1016/j.ejso.2009.12.004
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G. Nakib, V. Calcaterra, F. Scorletti, P. Romano, I. Goruppi, S. Mencherini, L. Avolio and G. Pelizzo, “Robotic Assisted Surgery in Pediatric Gynecology: Promising Innovation in Mini Invasive Surgical Procedures,” Journal of Pediatric and Adolescent Gynecology, Vol. 26, No. 1, 2013, pp. e5e7. http://dx.doi.org/10.1016/j.jpag.2012.09.009
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J. P. Gilleran, M. Johnson and A. Hundley, “Robotic-Assisted Laparoscopic Mesh Sacrocolpopexy,” Therapeutic Advances in Urology, Vol. 2, No. 5-6, 2010, pp. 195-208.
B. Ridgeway, A. C. Frick and M. D. Walter, “Hysteropexy. A Review,” Minerva Ginecologica, Vol. 60, No. 6, 2008, pp. 509-528.
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B. Feiner, L. Gietelink and C. Maher, “Anterior Vaginal Mesh Sacrospinous Hysteropexy and Posterior Fascial Plication for Anterior Compartment Dominated Uterovaginal Prolapse,” International Urogynecology Journal, Vol. 21, No. 2, 2010, pp. 203-208. http://dx.doi.org/10.1007/s00192-009-1012-9
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D. Kaushik, R. High, C. J. Clark and C. A. LaGrange, “Malfunction of the Da Vinci Robotic System during RobotAssisted Laparoscopic Prostatectomy: An International Survey,” Journal of Endourology/Endourological Society, Vol. 24, No. 4, 2010, pp. 571-575. http://dx.doi.org/10.1089/end.2009.0489
D. G. Murphy, A. Bjartell, V. Ficarra, M. Graefen, A. Haese, R. Montironi, F. Montorsi, J. W. Moul, G. Novara, G. Sauter, T. Sulser and H. van der Poel, “Downsides of Robot-Assisted Laparoscopic Radical Prostatectomy: Limitations and Complications,” European Urology, Vol. 57, No. 5, 2010, pp. 735-746. http://dx.doi.org/10.1016/j.eururo.2009.12.021
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N. C. Buchs, F. Pugin, F. Volonté and P. Morel, “Reliability of Robotic System during General Surgical Procedures in a University Hospital,” American Journal of Surgery, Vol. 207, No. 1, 2013, pp. 84-88.
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