Robotic-Assisted Surgery for the Community Gynecologist

Payne TN, Thomas N. Payne, Michael C. Pitter, Pitter MC
Clinical Obstetrics and Gynecology · 2011 · vol. 54(3) , pp. 391–411 · doi:10.1097/grf.0b013e31822b4998 · PMID:21857170 · W2324419681
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

Robotic assistance may improve minimally invasive surgery adoption rates among community gynecologists, offering comparable perioperative outcomes to conventional techniques despite ongoing cost and accessibility debates.

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This review examines the adoption of robotic-assisted surgery by community gynecologists, contrasting it with conventional minimally invasive techniques. The authors analyzed data from Medline and Scopus regarding perioperative outcomes for procedures such as hysterectomy, myomectomy, sacrocolpopexy, and endometriosis. They found that while robotic assistance may improve adoption rates without compromising safety, significant barriers related to accessibility and cost persist. Formal training programs are currently being developed to mitigate these challenges and facilitate broader implementation. Relevance to endometriosis: listed as one indication for robotic-assisted surgery, though the paper's main focus is on general surgical adoption and training rather than disease-specific pathology.

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Abstract

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.
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Robotic-Assisted Surgery for the Community Gynecologist Can it Be Adopted? - THOMAS N. PAYNE - MICHAEL C. PITTER 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.

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Condition tags

endometriosis

MeSH descriptors

Community Health Services Gynecologic Surgical Procedures Robotics Surgery, Computer-Assisted Female Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Robotics Robotics Treatment Outcome

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (63)

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