Robotic Surgery in Gynecology Practice: Current Approaches

Abstract

Laparoscopic surgery has been widely used in gynecology practice for more than 20 years. Despite the advent of laparoscopy led to advances, it has not been widely used in gynecology because of some disadvantages, including two-dimensional imaging, unstable camera platform, limited mobility of laparoscopic instruments. The aim of this study was to evaluate the advantage and disadvantages of the robotic surgery, especially the da Vinci system. Robotic surgery utilization in gynecology field has been studied in many trials. The literature was searched, advantages and disadvantages of robotic surgery were evaluated. This paper showed that previous studies which have been done suggest robotic surgery can be used in gynecologic interventions. Two-dimensional imaging is replaced with three dimensional technique in the da Vinci robot with increased perception and magnification. Moreover, tremor and motion scaling which complicate the operation are not seen in the robotic surgery and the surgical procedures that are typically difficult can be done easier than laparoscopy. However, the price and the loss of tactual feeling are accepted as big disadvantages of robotic surgeries. This manuscript will highlight the science behind the robotic surgery, recent advances in minimally invasive surgery, the most recent clinical trial results and important issues we need to consider prior to implementation of the robot in Turkey.