The current status and indications of robotic surgery in the setting of benign and malignant gynaecological conditions

E. Brătilă, C.B. Coroleucă

Rezumat: Objective. Robotic surgery has gained ground in recent years in benign and malignant gynecological interventions. The purpose of this article is to present the main indications of robotic surgery, to identify the advantages and disadvantages of this surgical technique and to present our experience in this field. Materials and method. An analysis of articles published in literature to observe the indications of robotic surgery in gynecology, both for benign and malignant interventions. Comparison of literature data with the main surgical indications found in the patient group selected by us who received robotic surgery. Results. The integration of robotic technology is a significant advance in the minimal invasive treatment techniques of the gynecological pathology used to treat both benign and malignant conditions. The advantages of robotic surgery are: 3D view of the operator field, superior dexterity, seven degrees of freedom for the movement of the brushes, superior capability of stitches and knots, superior ergonomics, elimination of the effect of the rebound, movement of the movements and reduction of tremor. The disadvantages of surgery are: the high cost of surgery, the lack of tactile feedback and the increased size of the device. Conclusions. Robotic surgery is an effective, safe and feasible method for the treatment of benign and malignant gynecological disorders. The optimal knowledge of trocars (adapted to the body mass index of each patient) is important in order to benefit from all the advantages of robotic surgery. Regarding the robotic surgical treatment group in which the feasibility of this procedure was observed, there are: oncological interventions, endometriosis, in reproductive medicine and in obese patients.
Cuvinte cheie: robotic surgery, minimally invasive surgery, oncology surgery, endometriosis.