Emerging robotic platforms in gynecologic surgery: a systematic review.

Area of Science:

• Minimally Invasive Surgery
• Surgical Robotics
• Gynecologic Oncology

Background:

• Robotic innovation in gynecologic surgery is rapidly evolving beyond traditional multiport systems.
• New platforms include single-port, modular multi-arm, transvaginal, AI-enabled, and teleoperated systems.
• Existing evidence is fragmented, hindering quantitative synthesis and comparative analysis.

Purpose of the Study:

• To systematically review emerging robotic platforms in gynecologic surgery.
• To evaluate procedure types, perioperative outcomes, costs, and learning curves associated with these platforms.
• To identify gaps in current evidence and guide future research directions.

Main Methods:

• Systematic review of clinical studies on emerging robotic platforms in gynecologic surgery.
• Searches conducted in PubMed, Scopus, and Web of Science (April 2026).
• Inclusion of 92 studies covering 13 platforms, with data extraction and risk of bias assessment.

Main Results:

• Evidence is most robust for da Vinci SP and HUGO RAS, with emerging data for Senhance, Versius, hinotori, and KANGDUO.
• Hysterectomy and sacrocolpopexy were the most common procedures.
• Perioperative outcomes and short-term safety appear favorable, but evidence is observational and methodologically limited.

Conclusions:

• Emerging robotic platforms demonstrate technical feasibility and acceptable short-term safety in gynecologic procedures.
• Current evidence is heterogeneous, observational, and requires more rigorous prospective studies.
• Standardized economic analyses, longer follow-up, and learning-curve evaluations are essential for comparative conclusions.