Retrospective analysis of robot-assisted versus standard laparoscopy in the treatment of pelvic pain indicative of endometriosis
Robot-assisted laparoscopy showed comparable perioperative outcomes to standard laparoscopy for endometriosis, with similar pain improvement but higher endometriosis confirmation rates.
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This retrospective single-surgeon study compared feasibility and perioperative outcomes of robot-assisted laparoscopic surgery versus standard CO2 laser laparoscopy for pelvic pain with suspected endometriosis, using the last 100 standard cases and the first 180 robot-assisted cases. The groups were comparable on factors including gravidity, BMI, prior endometriosis and surgery, AFS stage, and biopsy rates, and operative time, blood loss, and complication rates were low and similar between techniques. The main difference was a higher proportion of biopsies confirming endometriosis with robot-assisted surgery (80% vs 56.8%, p < 0.001), while most patients reported improved postoperative pain at first follow-up with no significant approach-related difference (85% vs 80%, p = 0.365). A major limitation is that the study’s retrospective design and short follow-up leave uncertainty about whether robotics yields better symptom resolution or fertility outcomes. This paper is centrally about endometriosis — it directly evaluates robot-assisted versus standard laparoscopy for pelvic pain indicative of endometriosis, including biopsy confirmation rates and postoperative pain outcomes.
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Cited by (20)
- Rethinking endometriosis recurrence: from clinical challenge to biological opportunity 2026
- Robotic assisted versus laparoscopic surgery for deep endometriosis: a meta-analysis of current evidence 2024
- Robotic surgery for deep-infiltrating endometriosis: is it time to take a step forward? 2024
- Robotic-assisted laparoscopy in reproductive surgery: what is new? 2023
- Robot-assisted laparoscopy does not have demonstrable advantages over conventional laparoscopy in endometriosis surgery: a systematic review and meta-analysis 2023
- Robotic Surgery and Deep Infiltrating Endometriosis Treatment: The State of Art 2023
- Does Robot Assisted Laparoscopy (RAL) Have an Advantage in Preservation of Ovarian Reserve in Endometriosis Surgery? Comparison of Single-Port Access (SPA) RAL and SPA Laparoscopy 2023
- Robotic-assisted laparoscopy is a feasible method for resection of deep infiltrating endometriosis, especially in the rectosigmoid area 2021
- Robotic Treatment of Bowel Endometriosis 2020
- The role of robotic surgery for endometriosis 2020
- Deep infiltrating endometriosis: Interest of the robotic approach for a fledgling team 2019
- Robot-assisted surgery in gynecology 2019
- Robotic single-site endometriosis resection using near-infrared fluorescence imaging with indocyanine green: a prospective case series and review of literature 2019
- The Diagnosis and Management of Severe Endometriosis 2017
- Visualization of endometriosis: comparative study of 3-dimensional robotic and 2-dimensional laparoscopic endoscopes 2017
- ‘Money for nothing’. The role of robotic-assisted laparoscopy for the treatment of endometriosis 2017
- Robotic Assisted Surgery for Endometriosis—“Is the Way Forward?” 2016
- Robotic surgery in the management of benign complex adnexal masses with a frozen pelvis in women desiring to preserve fertility 2015
- Surgical Excision of Advanced Endometriosis: Perioperative Outcomes and Impacting Factors 2015
- Robot assisted laparoscopic documentation of endometriosis 2013
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