Robotic Surgery in Gynaecologic Oncology- Where Do We Stand?

摘要

Robotics is a new upcoming surgical platform which has gained popularity because of its technical advantages, good patient outcomes and ease of surgery. Robotics has been applied to benign gynaecological patients with great success, and by adhering to stringent onco-surgical principles, it has been used in malignant gynaecological situations as well. Its use in early endometrial cancer has become very common in clinical practice. Robotics for sentinel lymph nodes (SLN) were found to be feasible and comparable to traditional laparoscopy. Application of robotics in ovarian cancer has been used but its application remains restricted to very well selected early-stage disease only. Its use in advanced-stage ovarian cancer and recurrent ovarian cancer is still remained experimental. After recent publication of LACC trial which is a well-designed randomized control trial- the role of minimally invasive surgery including robotics has become very constrained. Newer well-designed upcoming randomized controlled trials are ongoing to delve into the oncological non-inferiority of Robotics in cervical cancer (early-stage). In this review article recently published scientific evidence has been put forward to look into the current status of robotics in different gynaecological malignancies.