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Robotic Gynecologic Surgery: Past, Present, and Future

CHEN, CHI CHIUNG GRACE MD, FACOG*; FALCONE, TOMMASO MD, FACOG

Clinical Obstetrics & Gynecology: September 2009 - Volume 52 - Issue 3 - pp 335-343
doi: 10.1097/GRF.0b013e3181b08adf
Laparoscopic Surgery

Robotic techniques are increasingly being used to perform gynecologic surgical procedures including hysterectomies, performed for benign and malignant indications, myomectomies, tubal reanastomoses, and sacrocolpopexies. Robotic procedures seem to confer the same benefits as laparoscopic surgery without additional complications. It is unclear, however, whether robotic surgery imparts any additional benefits such as decreased operative times when compared with open or conventional laparoscopic techniques. The advantages to robotic surgery include improved visualization of the operative field with increased dexterity allowing more precise movements. Disadvantages include the learning curve associated with learning a new surgical technique and the equipment and operating costs of the robot and of using the robot.

*Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, Maryland

Obstetrics, Gynecology, and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio

Correspondence: Tommaso Falcone, MD, FACOG, Obstetrics, Gynecology, and Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, A81, Cleveland, OH 44195. E-mail: falcont@ccf.org

© 2009 Lippincott Williams & Wilkins, Inc.