Robotic-Assisted Surgery in Gynecological Oncology

被引:9
作者
Bush, Stephen H. [1 ]
Apte, Sachin M. [1 ]
机构
[1] Univ S Florida, Coll Med, H Lee Moffitt Canc Ctr & Res Inst, Dept Gynecol Oncol, Tampa, FL 33612 USA
关键词
LAPAROSCOPIC RADICAL HYSTERECTOMY; ENDOMETRIAL CANCER; CERVICAL-CARCINOMA; TRAINING-PROGRAM; LEARNING-CURVE; OUTCOMES; LYMPHADENECTOMY; COST; LAPAROTOMY; OBESE;
D O I
10.1177/107327481502200308
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Robotic-assisted surgery is a technological advancement, and its use is rapidly expanding into the field of gynecological oncology. However, a paucity of evidence exists to prove its superiority over standard laparoscopy. Its cost is also high and it lacks haptic feedback. Methods: A systematic review of the relevant literature was undertaken to understand the use of robotic-assisted surgery in gynecological oncology. Results: Robotic-assisted surgery is being used for select cases of endometrial cancer and has resulted in the increased utilization of minimally invasive surgery for such patients. Use of robotic-assisted surgery among patients who are obese has led to decreased complication rates. Robotic-assisted surgery appears to be more expensive than traditional laparoscopy; however, there are potential cost savings to robotic-assisted surgery, including shorter hospital stays and fewer complications, compared with laparotomy. Conclusions: The gynecological oncology community is rapidly accepting the use of robotic-assisted surgery. Although randomized controlled trials are lacking, the technology appears to be safe and effective, and it has equivalent oncological outcomes in this patient population.
引用
收藏
页码:307 / 313
页数:7
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