{"paper_id":"8013d026-7dbd-45ee-b746-afba81c665ee","body_text":"15\nCopyright © 2025 Society of Korean Robotic Gynecologic Surgery\nEditorial\neISSN 2672-1481\nhttps://doi.org/10.36637/grs.2025.00045\n Gyne Robot Surg 2025;6(2):15-16\n• Received: September 4, 2025   • Accepted: September 5, 2025\n•  Corresponding author: Sa Ra Lee\nDepartment of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea\nE-mail: leesr@amc.seoul.kr\n This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/\nlicenses/by-nc/4.0)  which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.\nSurgical treatment of endometriosis is a highly challeng-\ning and often controversial area from the perspective of \ngynecologic surgeons.\nThe surgical indications vary depending on the extent of \ndisease - from cases confined to ovarian endometriomas to \ndeeply infiltrating lesions involving surrounding organs. \nThere is also considerable debate among surgeons regard-\ning the extent of surgery required. Furthermore, there are \nongoing discussions about whether surgery should be re-\nplaced or complemented by medical therapy.\nThe purpose of surgery can also differ: whether it's for \nsymptom relief, differentiation from malignancy, or maximal \nexcision of lesions, each objective results in a different sur-\ngical approach. When the goal is maximal excision of lesions, \naccess to the retroperitoneum becomes essential, requiring \nin-depth knowledge and experience in handling the ureters, \nnerves, and blood vessels.\nRobotic surgery is considered the most ideal approach \nfor such complex cases, and for this reason, the Society of \nKorean Robotic Gynecologic Surgery has organized a spe-\ncial workshop on deep infiltrating endometriosis (DIE).\nThe Society of Korean Robotic Gynecologic Surgery and \nthe Pelvic Nerve Study Group jointly hosted a special work-\nshop on August 31, 2025. This workshop, titled “Deep Infil-\ntrating Endometriosis, Nerve and Surgical Innovation”, was \norganized to share practical techniques and insights that \ncan be directly applied in clinical practice.\nA key focus was the essential neuroanatomical under -\nstanding required for DIE surgery, including lectures on the \nconcept of neuropelviology and the distinction between \nautonomic and somatic nerves. The program also covered \nradiological approaches, including ultrasound and magnetic \nresonance imaging findings for DIE, and offered in-depth \ndiscussions on surgical strategies.\nMoreover, through the clinical experiences of leading do-\nmestic experts, participants gained practical guidance on \nlaparoscopic and robotic surgical approaches for various in-\ntra-abdominal DIE lesions, as well as postoperative man-\nagement strategies.\nFinally, there was a valuable session featuring professor \nMarc Possover, where participants had the rare opportuni-\nty to learn and discuss the pelvic nerve research achieve-\nPioneering a new era in the treatment of deep infiltrating \nendometriosis through robotic surgery\nSa Ra Lee\nDepartment of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea\nKey Words: Endometriosis; Nervous system; Pelvic pain; Robotic surgical procedures\n\nGynecologic Robotic Surgery | Vol 6, No. 2, September 2025\nhttps://doi.org/10.36637/grs.2025.00045\n16\nments he has dedicated his life to - such as Laparoscopic \nNeuro-Navigation (LANN) and Laparoscopic Implantation \nof Neuroprosthesis (LION) procedures.\nFor patients living with DIE, the future looks more hope-\nful than ever. Robotic surgery is not merely an addition to \nour surgical armamentarium. It is a transformative tool that \nmay redefine the standard of care in endometriosis man-\nagement.","source_license":"CC0","license_restricted":false}