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Robotic-Assisted Surgery for the Community Gynecologist: Can it Be Adopted?


Clinical Obstetrics and Gynecology: September 2011 - Volume 54 - Issue 3 - p 391–411
doi: 10.1097/GRF.0b013e31822b4998
Robotic Surgery in Gynecology

The American College of Obstetricians and Gynecologists and the American Association of Gynecologic Laparoscopists confirm advantages of conventional minimally invasive surgery over laparotomy for benign gynecological procedures; however, adoption remains low for the general gynecologist. A systematic search for gynecology publications was performed using Medline and Scopus. Available data on adoption rates and perioperative outcomes for hysterectomy, myomectomy, sacrocolpopexy, and endometriosis were reviewed. Robotic assistance may provide an improved rate of minimally invasive surgery adoption with equivalent perioperative outcomes to that of conventional techniques. Accessibility and cost remain controversial. Formal training programs are being created to address these issues.

*Texas Institute for Robotic Surgery, Austin, Texas;

Department of Obstetrics and Gynecology, Newark Beth Israel Medical Center, Newark, New Jersey

The authors have the following conflicts of interest to declare. Drs Payne and Pitter serve as proctors and on the speaker's bureau for Intuitive Surgical Inc (Sunnyvale, CA).

Correspondence: Thomas N. Payne, MD, Texas Institute for Robotic Surgery, 12221 Renfert, Austin, TX 78758. E-mail:

© 2011 Lippincott Williams & Wilkins, Inc.