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Reply to Dion et al. Comment on "Sun et al. First Experience with Hypothermic Oxygenated Perfusion in Human Uteri: Feasibility and Metabolic Characterization. <i>J. Clin. Med.</i> 2026, <i>15</i>, 2820".

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Do we need a robot in endometriosis surgery?

Lisa C Hickman1, Alexander Kotlyar, Thanh H Luu

  • 1Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, Cleveland, OH, Ohio, USA - hickmal@ccf.org.

Minerva Ginecologica
|December 15, 2015
PubMed
Summary

Robotic surgery in gynecology is expanding, but its role in endometriosis treatment is debated. More research is needed to confirm benefits over conventional laparoscopy for endometriosis.

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Area of Science:

  • Gynecologic Surgery
  • Minimally Invasive Procedures

Background:

  • Robotic surgery has seen widespread adoption in gynecology since 2005.
  • Its application has expanded beyond hysterectomies and myomectomies.
  • The role of robotics in endometriosis surgery is currently controversial.

Purpose of the Study:

  • To evaluate the current evidence on robotic surgery for endometriosis.
  • To compare robotic surgery with conventional laparoscopy in endometriosis treatment.

Main Methods:

  • Review of case reports and retrospective studies.
  • Comparison of outcomes between robotic and conventional laparoscopic approaches.

Main Results:

  • Evidence for robotic surgery in early-stage endometriosis is unclear.
  • Case reports suggest potential benefits in advanced and deep infiltrating endometriosis, including reduced blood loss and hospital stay.
  • Robotic surgery consistently shows longer operative times without improving quality of life or fertility outcomes.

Conclusions:

  • Randomized control trials are essential to define the role of robotic surgery in endometriosis.
  • Further research is needed to compare robotic versus conventional laparoscopy for endometriosis surgery.