Robotic surgery in gynecologic oncology

Fateme Asadollahzadeh shamkhal,1,*

1. Department of Electrical Engineering, Faculty of Engineering, Ferdowsi University Of Mashhad, Iran

Abstract

Introduction

Robotic surgery in recent years has been able to quickly replace laparoscopy in some branches of gynecologic cancer surgery. the most significant achievement of robotic surgery in gynecologic cancer surgery has been minimally invasive surgery (mis). this solution is still under development and seems to have revolutionized surgery. in this article, we will examine this comprehensive approach and its advantages and disadvantages.

Methods

Several systematic reviews, review and research articles searched on pubmed, google scholar and google, and finally, 11 articles were selected and studied.

Results

Due to their lower invasion, these robots in recent years have been used in gynecologic cancer surgery, especially in radical hysterectomy, lymph node dissection, pelvic and para-aortic surgeries and simple hysterectomy. in comparison to laparoscopy the use of these robots in endometrial cancer is more common due to, shorter operative times, reduced blood loss, hospital stay, and the increased lymph node retrieval. in addition, in cervical cancer, robotic surgery is more! effective than open method solutions in terms of blood loss, postoperative infectious morbidity and the hospital stay. also, the results of studies have shown that robotic surgery produces fewer bleeding than conventional laparoscopy.

Conclusion

The robotic surgery solution has benefits and disadvantages. advantages include increased accuracy, reduced blood loss, hospital stay, and increased lymph node retrieval compared to traditional laparoscopy and laparotomy. other benefits include: less post-operative pain, faster recovery, tremor filtration and fewer complications. it should be noted that training physicians is very significant in this approach. the mistake in each stage may have long time correction and has its own particular problems. this method still needs to be studied further so that the disadvantages can be precisely identified and then resolved. for example, more work on sensory feedback should be done. also, it should be consideredthat this method is very expensive compared to laparotomy and traditional laparoscopy some challenges in cases such as camera instability and limited range of motion faces.

Keywords

Surgical robotics, gynecologic oncology, cancer