학술논문
Robot-Assisted Surgery for Endometriosis Current and Future Perspectives.
Document Type
Academic Journal
Author
Mikhail E; Division of Gynecology, Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine Tampa, Florida.; Pavlovic ZJ; Division of Reproductive Endocrinology & Infertility, Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine, Tampa, Florida.; Al Jumaily M; Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine, Tampa, Florida.; Kheil MH; Department of Pathology, Wayne State University, Detroit, Michigan.; Moawad GN; Department of Obstetrics & Gynecology, The George Washington University School of Medicine, McLean, Virginia.; Soares T; State University of Rio de Janeiro, Chief of Gynecologic Endoscopy Section, Cardoso Fontes Hospital, Rio de Janeiro, Brazil.
Source
Publisher: Universal Medical Press Country of Publication: United States NLM ID: 9604509 Publication Model: Print Cited Medium: Print ISSN: 1090-3941 (Print) Linking ISSN: 10903941 NLM ISO Abbreviation: Surg Technol Int Subsets: MEDLINE
Subject
Language
English
ISSN
1090-3941
Abstract
Successful resection of all visible lesions may effectively treat endometriosis-related infertility and pelvic pain. Minimally invasive surgery provides significant advantages, with lower rates of surgical complications such as surgical trauma, infection, postoperative pain, and hospital stay. Robotic surgery is shown to have similar perioperative outcomes to conventional laparoscopy; however, complex stage III and IV endometriosis, especially cases requiring significant resection such as deep infiltrating endometriosis, widespread peritoneal implants, and urologic and intestinal involvement, may benefit most from a robotic approach. There are certain aspects of endometriosis surgery where utilization of robotic technology might provide an additional benefit. These include (1) heterogeneity of lesions, and thus difficulty in identification; (2) difficulty in accurately predicting surgical complexity; and (3) prolonged operative time for complex cases. The objective of this review is to describe the current and future perspectives of robotic surgery as it pertains to endometriosis.