[Robotic surgery in gynecology].

摘要

INTRODUCTION: The aim of this review is to provide a general historical and contemporary perspective on the implementation and use of robot-assisted laparoscopy in gynecology as well as the experience gained to date. CONTENTS: Robotic-assisted laparoscopic surgeries in gynecology include benign hysterectomy, myomectomy, radical hysterectomy, lymph node dissections or sacrocolpopexies. Robot-assisted gynecologic surgery is often associated with longer operating room time but generally similar clinical outcomes, decreased blood loss and shorter hospital stay when compared to open or laparoscopic surgery. CONCLUSIONS: Robotic surgery is associated with a shorter learning curve and has allowed a larger number of gynecologists to master complex laparoscopic procedures. Robot-assisted surgery offers all the benefits of minimally invasive surgery, making them accessible to a much broader spectrum of patients.Key words: robotic surgery - gynecology hysterectomy - da Vinci laparoscopy.