Robotic surgery for deep-infiltrating endometriosis: is it time to take a step forward?

Authors

Filippo Alberto Ferrari, Department of Obstetrics and Gynaecology, AOUI Verona, University of Verona, Verona, Italy.
Youssef Youssef, Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynaecology-Maimonides Medical Center, Brooklyn, NY, United States.
Antoine Naem, Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany.
Federico Ferrari, Department of Clinical and Experimental Sciences, Division of Obstetrics and Gynecology, University of Brescia, Brescia, Italy.
Franco Odicino, Department of Clinical and Experimental Sciences, Division of Obstetrics and Gynecology, University of Brescia, Brescia, Italy.
Harald Krentel, Department of Obstetrics, Gynecology, Gynecologic Oncology, and Senology, Bethesda Hospital Duisburg, Duisburg, Germany.
Gaby Moawad, Department of Obstetrics and Gynecology, George Washington University, Washington, DC, United States.

Document Type

Journal Article

Publication Date

1-1-2024

Journal

Frontiers in medicine

Volume

11

DOI

10.3389/fmed.2024.1387036

Keywords

Colon; diaphragm; endometriosis; laparoscopy; rectum; robotic surgery; urinary tract

Abstract

Endometriosis is a chronic debilitating disease that affects nearly 10% of women of the reproductive age. Although the treatment modalities of endometriosis are numerous, surgical excision of the endometriotic implants and nodules remains the sole cytoreductive approach. Laparoscopic excision of endometriosis was proven to be beneficial in improving the postoperative pain and fertility. Moreover, it was also proved to be safe and efficient in treating the visceral localization of deep endometriosis, such as urinary and colorectal endometriosis. More recently, robotic-assisted surgery gained attention in the field of endometriosis surgery. Although the robotic technology provides a 3D vision of the surgical field and 7-degree of freedom motion, the safety, efficacy, and cost-effectiveness of this approach are yet to be determined. With this paper, we aim to review the available evidence regarding the role of robotic surgery in the management of endometriosis along with the current practices in the field.

APA Citation

Ferrari, Filippo Alberto; Youssef, Youssef; Naem, Antoine; Ferrari, Federico; Odicino, Franco; Krentel, Harald; and Moawad, Gaby, "Robotic surgery for deep-infiltrating endometriosis: is it time to take a step forward?" (2024). GW Authored Works. Paper 4558.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/4558

Department

Obstetrics and Gynecology