Current Uses of Robotic Surgery for the Treatment of Benign Adnexal Conditions

Ja Hyun Shin, J Schortz, Mengyang Sun, Julie Gutierrez
In: Current Women s Health Reviews · 2018 · vol. 14(1) · doi:10.2174/1573404813666170921154350 · W2784587200
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This review of limited retrospective studies found robotic-assisted laparoscopy is a safe and effective option for various benign adnexal surgeries, with comparable complication rates to conventional laparoscopy.

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This review evaluates the current applications of robotic-assisted laparoscopy for benign adnexal pathologies, including ovarian cystectomy, oophorectomy, and tubal reanastomosis. The authors analyzed existing literature, noting that available evidence is primarily derived from small retrospective studies comparing robotic techniques to conventional laparoscopy. Key findings indicate comparable perioperative complication rates between the two approaches, though the specific advantages of robotic technology remain undetermined due to a lack of large prospective trials. Relevance to endometriosis: listed as one indication for robotic adnexal surgery, though the paper's main focus is broad benign adnexal conditions rather than specifically adenomyosis or endometriosis pathology alone.

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Abstract

Background: Robotic-assisted laparoscopy can be safely utilized to surgically treat multiple gynecological conditions. Few studies have evaluated its role in performing adnexal surgeries. Objective: To identify which adnexal surgeries are more commonly being performed robotically and review safety and efficacy outcomes. Method: A literature search was performed using electronic databases using keywords robotic, adnexal surgery, ovarian, tubal, endometriosis, infertility, and pediatrics. Results: A limited number of studies were identified that evaluated the role of robotic technology in adnexal surgeries such as oophorectomy or cystectomy for benign adnexal masses, removal of ovarian remnant, tubal reanastomosis, adnexal surgeries performed during pregnancy, and in the pediatric population for ovarian pathology. The results of these studies are based largely on a small number of retrospective data. These studies suggest similar perioperative complication rates for robotic surgery and conventional laparoscopy for the treatment of these conditions. Conclusion: Robotic assisted laparoscopy has been demonstrated to treat adnexal pathology with favorable outcomes. However, the benefit of this technology compared to conventional laparoscopy for these procedures is undetermined and larger prospective studies are necessary to better understand its advantages and disadvantages. Keywords: Robotic surgery, adnexal, endometriosis, ovarian remnant, tubal reanastomosis, pregnancy, pediatric.
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Abstract

Objective: To identify which adnexal surgeries are more commonly being performed robotically and review safety and efficacy outcomes.

Method

A literature search was performed using electronic databases using keywords robotic, adnexal surgery, ovarian, tubal, endometriosis, infertility, and pediatrics.

Results

A limited number of studies were identified that evaluated the role of robotic technology in adnexal surgeries such as oophorectomy or cystectomy for benign adnexal masses, removal of ovarian remnant, tubal reanastomosis, adnexal surgeries performed during pregnancy, and in the pediatric population for ovarian pathology. The results of these studies are based largely on a small number of retrospective data. These studies suggest similar perioperative complication rates for robotic surgery and conventional laparoscopy for the treatment of these conditions.

Conclusion

Robotic assisted laparoscopy has been demonstrated to treat adnexal pathology with favorable outcomes. However, the benefit of this technology compared to conventional laparoscopy for these procedures is undetermined and larger prospective studies are necessary to better understand its advantages and disadvantages.

Keywords

Robotic surgery, adnexal, endometriosis, ovarian remnant, tubal reanastomosis, pregnancy, pediatric.

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