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Stereotactic Radiosurgery for Gynecologic Cancer
Published on: April 17, 2012
Robotic surgery in gynecologic oncology
Christina A Bandera1, Javier F Magrina
1Program in Women's Oncology, Department of Obstetrics and Gynecology, Women and Infants Hospital, Warren Alpert Medical School at Brown University, Providence, Rhode Island 02905, USA. cbandera@wihri.org
Current Opinion in Obstetrics & Gynecology
|January 7, 2009
Summary
Robotic surgery is a feasible minimally invasive alternative to laparoscopy for gynecologic oncology procedures like hysterectomy and lymphadenectomy. This advanced technique shows comparable or favorable outcomes for endometrial and cervical cancers, with its role in ovarian cancer emerging.
Area of Science:
- Gynecologic Oncology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic surgery is increasingly adopted in gynecologic oncology, replacing traditional laparoscopy.
- Numerous studies document practitioner experiences with robotic surgical technologies.
Purpose of the Study:
- To review current findings on robotic surgery in gynecologic oncology.
- To assess the feasibility and outcomes of robotic procedures compared to laparoscopy.
Main Methods:
- Review of published case series on robotic surgery for gynecologic cancers.
- Analysis of procedures including hysterectomy, lymphadenectomy, radical hysterectomy, trachelectomy, parametrectomy, and retroperitoneal lymphadenectomy.
Main Results:
- Robotic surgery for hysterectomy and lymphadenectomy is feasible and comparable to laparoscopy.
- Robotic radical hysterectomy for cervical cancer shows favorable outcomes versus laparoscopy.
- Less common robotic procedures and patient/practitioner advantages are documented.
Conclusions:
- Robotic surgery offers a minimally invasive alternative for endometrial and cervical cancer treatment.
- The application of robotic surgery in ovarian cancer is currently under investigation.

