Statutul actual şi indicaţiile chirurgiei robotice în cadrul intervenţiilor ginecologice benigne şi maligne

Objective. Robotic surgery has gained ground in recent years in benign and malignant gynecological interventions. The purpose of this article is to present the main indications of robotic surgery, to identify the advantages and disad­van­tages of this surgical technique and to present our ex­pe­rience in this field. Materials and method. An analysis of ar­ti­cles published in literature to observe the in­di­ca­tions of robotic surgery in gynecology, both for be­nign and ma­lig­nant interventions. Comparison of li­te­rature data with the main surgical indications found in the pa­tient group selected by us who received robotic sur­ge­ry. Results. The integration of robotic technology is a significant advance in the minimal invasive treatment techniques of the gynecological pathology used to treat both benign and malignant conditions. The advantages of robotic surgery are: 3D view of the operator field, superior dexterity, seven degrees of freedom for the movement of the brushes, superior capability of stitches and knots, superior ergonomics, elimination of the effect of the rebound, movement of the movements and reduction of tremor. The disadvantages of surgery are: the high cost of surgery, the lack of tactile feedback and the increased size of the device. Conclusions. Robotic surgery is an effective, safe and feasible method for the treatment of benign and malignant gynecological disorders. The optimal knowledge of trocars (adapted to the body mass index of each patient) is important in order to benefit from all the advantages of robotic surgery. Regarding the robotic surgical treatment group in which the feasibility of this procedure was observed, there are: oncological interventions, endometriosis, in reproductive medicine and in obese patients.