Robot-Assisted Surgery for Endometriosis Current and Future Perspectives

Authors

Emad Mikhail, Division of Gynecology, Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine Tampa, Florida.
Zoran Jason Pavlovic, Division of Reproductive Endocrinology & Infertility, Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine, Tampa, Florida.
Maha Al Jumaily, Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine, Tampa, Florida.
Mira H. Kheil, Department of Pathology, Wayne State University, Detroit, Michigan.
Gaby N. Moawad, Department of Obstetrics & Gynecology, The George Washington University School of Medicine, McLean, Virginia.
Thiers Soares, State University of Rio de Janeiro, Chief of Gynecologic Endoscopy Section, Cardoso Fontes Hospital, Rio de Janeiro, Brazil.

Document Type

Journal Article

Publication Date

5-19-2022

Journal

Surgical technology international

Volume

40

DOI

10.52198/22.STI.40.GY1562

Abstract

Successful resection of all visible lesions may effectively treat endometriosis-related infertility and pelvic pain. Minimally invasive surgery provides significant advantages, with lower rates of surgical complications such as surgical trauma, infection, postoperative pain, and hospital stay. Robotic surgery is shown to have similar perioperative outcomes to conventional laparoscopy; however, complex stage III and IV endometriosis, especially cases requiring significant resection such as deep infiltrating endometriosis, widespread peritoneal implants, and urologic and intestinal involvement, may benefit most from a robotic approach. There are certain aspects of endometriosis surgery where utilization of robotic technology might provide an additional benefit. These include (1) heterogeneity of lesions, and thus difficulty in identification; (2) difficulty in accurately predicting surgical complexity; and (3) prolonged operative time for complex cases. The objective of this review is to describe the current and future perspectives of robotic surgery as it pertains to endometriosis.

APA Citation

Mikhail, Emad; Pavlovic, Zoran Jason; Al Jumaily, Maha; Kheil, Mira H.; Moawad, Gaby N.; and Soares, Thiers, "Robot-Assisted Surgery for Endometriosis Current and Future Perspectives" (2022). GW Authored Works. Paper 936.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/936

Department

Obstetrics and Gynecology