Systematic review of robotic surgery in gynecology: robotic techniques compared with laparoscopy and laparotomy

Gala, Rajiv B., Margulies, Rebecca, Steinberg, Adam, Murphy, Miles, Lukban, James, Jeppson, Peter, Aschkenazi, Sarit, Olivera, Cedric, South, Mary, Lowenstein, Lior, Schaffer, Joseph, Balk, Ethan M. and Sung, Vivian (2014) Systematic review of robotic surgery in gynecology: robotic techniques compared with laparoscopy and laparotomy. Journal of Minimally Invasive Gynecology, 21 3: 353-361. doi:10.1016/j.jmig.2013.11.010


Author Gala, Rajiv B.
Margulies, Rebecca
Steinberg, Adam
Murphy, Miles
Lukban, James
Jeppson, Peter
Aschkenazi, Sarit
Olivera, Cedric
South, Mary
Lowenstein, Lior
Schaffer, Joseph
Balk, Ethan M.
Sung, Vivian
Title Systematic review of robotic surgery in gynecology: robotic techniques compared with laparoscopy and laparotomy
Journal name Journal of Minimally Invasive Gynecology   Check publisher's open access policy
ISSN 1553-4669
1553-4650
Publication date 2014-05
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.jmig.2013.11.010
Open Access Status Not Open Access
Volume 21
Issue 3
Start page 353
End page 361
Total pages 9
Place of publication Philadelphia, PA United States
Publisher Elsevier
Language eng
Abstract The Society of Gynecologic Surgeons Systematic Review Group performed a systematic review of both randomized and observational studies to compare robotic vs nonrobotic surgical approaches (laparoscopic, abdominal, and vaginal) for treatment of both benign and malignant gynecologic indications to compare surgical and patient-centered outcomes, costs, and adverse events associated with the various surgical approaches. MEDLINE and the Cochrane Central Register of Controlled Trials were searched from inception to May 15, 2012, for English-language studies with terms related to robotic surgery and gynecology. Studies of any design that included at least 30 women who had undergone robotic-assisted laparoscopic gynecologic surgery were included for review. The literature yielded 1213 citations, of which 97 full-text articles were reviewed. Forty-four studies (30 comparative and 14 noncomparative) met eligibility criteria. Study data were extracted into structured electronic forms and reconciled by a second, independent reviewer. Our analysis revealed that, compared with open surgery, robotic surgery consistently confers shorter hospital stay. The proficiency plateau seems to be lower for robotic surgery than for conventional laparoscopy. Of the various gynecologic applications, there seems to be evidence that renders robotic techniques advantageous over traditional open surgery for management of endometrial cancer. However, insofar as superiority, conflicting data are obtained when comparing robotics vs laparoscopic techniques. Therefore, the specific method of minimally invasive surgery, whether conventional laparoscopy or robotic surgery, should be tailored to patient selection, surgeon ability, and equipment availability.
Keyword Gynecologic surgery
Learning curve
Robotic surgery
Systematic review
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Medicine Publications
 
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