The Journal of Minimally Invasive Gynecology
Volume 16, Issue 3 , Pages 291-301, May 2009

Evolving Role and Current State of Robotics in Minimally Invasive Gynecologic Surgery

  • Arnold P. Advincula, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor
    • Corresponding Author InformationCorresponding Author: Arnold P. Advincula, MD, Department of Obstetrics and Gynecology, University of Michigan Medical Center, L 4000 Women's Hospital, 1500 E. Medical Center Dr., Ann Arbor, MI 48109.
    • ,
  • Karen Wang, MD

      Affiliations

    • Department of Beth Israel Medical Center, New York, New York

Received 19 November 2008; accepted 6 March 2009.

Abstract 

Advancements in conventional laparoscopy afford gynecologists the ability to treat disease with minimally invasive interventions. Procedures such as hysterectomy are still performed predominantly via laparotomy. Instrumentation, complex disease, and steep learning curves are often cited as obstacles to minimally invasive surgery. The advent of robotic technology may provide a means to overcome the limitations of conventional laparoscopy through the use of 3-dimensional imaging and more dextrous and precise instruments. Current studies clearly demonstrate the feasibility and safety of applying robotics to the entire spectrum of gynecologic procedures. Rigorous scientific studies and long-term data are needed to determine the appropriate applications of robotics in gynecology. Numerous questions still exist pertaining to costs, credentialing and privileging, and training.

Keywords: Robotics, Laparoscopy, Computer-assisted surgery

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 Financial Disclosure: Dr. Advincula is a consultant for Intuitive Surgical, Inc., Sunnyvale, California.

 The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.

PII: S1553-4650(09)00121-6

doi:10.1016/j.jmig.2009.03.003

The Journal of Minimally Invasive Gynecology
Volume 16, Issue 3 , Pages 291-301, May 2009

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