Robotic-assisted laparoscopy in reproductive surgery: what is new?

Maria LONGO, Giorgia Gaia, Margarita Afonina, Carlo Alboni, Antonio La Marca
In: Gazzetta Medica Italiana Archivio per le Scienze Mediche · 2023 · vol. 181(12) · doi:10.23736/s0393-3660.22.04959-2 · W4319348650
article OA: closed CC0
View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

Robotic-assisted laparoscopy in reproductive surgery shows potential benefits like decreased blood loss and faster recovery, though high-quality evidence of superiority over laparoscopy is lacking.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

In recent years, the development of assisted reproductive technology (ART) techniques has revolutionized the field of reproductive medicine. In parallel with this, the role of surgery in the treatment of infertile couples has acquired growing interest. Robotic surgery represents the fusion of the conventional open surgery and the minimally invasive laparoscopic surgery. Several authors have analyzed the role of robotic-assisted laparoscopy (RAL) in reproductive surgery focusing on the most fertility-sparing procedures. The aim of the present study was to review the up-to-date publications of the last five years conducted by a literature search in PubMed database. The RAL has shown its potential benefits when compared to laparotomy. Most of the available studies are retrospective, observational, and non-comparative with a heterogeneous patients’ samples and methodology. This, together with the lack of randomized controlled trials (RCTs), made impossible to support a potential superiority of the Da Vinci surgery above the laparoscopic approach. Despite this, robotic assistance in reproductive surgery showed decreased blood loss, less postoperative pain, shorter hospital stays, and faster convalescence. Reproductive outcomes were comparable to open/laparoscopic approaches. The main disadvantages of robotic surgery were the major costs and operating times. The RAL is an innovative, safe, and qualified technique and represent a valid approach in the field of female reproductive surgery. The improved visualization and the assisted movements of robotic assistance allow to perform the more challenging steps with greater ease than laparoscopy. These aspects overcome the limitations of laparoscopy. Since low-quality evidence is available about the RAL superiority in the context of fertility surgery, randomized control trials performed in the setting of a well-implemented robotics program may further clarify the utility of the robotic approach in the field of fertility-sparing surgery.

My notes (saved in your browser only)

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 (41)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
unpaywall
last seen: 2026-08-23T06:29:45.520198+00:00
License: CC0 · commercial use OK