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Volume 58
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10.3390/medicina58040552
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Background:
Review

Update of Robotic Surgery in Benign Gynecological Pathology: Systematic Review

by
Vito Andrea Capozzi
1,*,
Elisa Scarpelli
1,
Giulia Armano
1,
Luciano Monfardini
1,
Angela Celardo
2,
Gaetano Maria Munno
2,
Nicola Fortunato
2,
Primo Vagnetti
2,
Maria Teresa Schettino
2,
Giulia Grassini
2,
Domenico Labriola
2,
Carla Loreto
2,
Marco Torella
2 and
Stefano Cianci
3
1
Department of Medicine and Surgery, University Hospital of Parma, 43125 Parma, Italy
2
Department of Women, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
3
Department of Gynecologic Oncology and Minimally-Invasive Gynecologic Surgery, Università degli Studi di Messina, Policlinico G. Martino, 98124 Messina, Italy
*
Author to whom correspondence should be addressed.
Medicina 2022, 58(4), 552; https://doi.org/10.3390/medicina58040552
Submission received: 14 March 2022 / Revised: 12 April 2022 / Accepted: 15 April 2022 / Published: 17 April 2022
(This article belongs to the Section Obstetrics and Gynecology)
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Abstract

Background and Objectives: Since the Food and Drug Administration’s (FDA) approval in 2005, the application of robotic surgery (RS) in gynecology has been adopted all over the world. This study aimed to provide an update on RS in benign gynecological pathology by reporting the scientific recommendations and high-value scientific literature available to date. Materials and Methods: A systematic review of the literature was performed. Prospective randomized clinical trials (RCT) and large retrospective trials were included in the present review. Results: Twenty-two studies were considered eligible for the review: eight studies regarding robotic myomectomy, five studies on robotic hysterectomy, five studies about RS in endometriosis treatment, and four studies on robotic pelvic organ prolapse (POP) treatment. Overall, 12 RCT and 10 retrospective studies were included in the analysis. In total 269,728 patients were enrolled, 1721 in the myomectomy group, 265,100 in the hysterectomy group, 1527 in the endometriosis surgical treatment group, and 1380 patients received treatment for POP. Conclusions: Currently, a minimally invasive approach is suggested in benign gynecological pathologies. According to the available evidence, RS has comparable clinical outcomes compared to laparoscopy (LPS). RS allowed a growing number of patients to gain access to MIS and benefit from a minimally invasive treatment, due to a flattened learning curve and enhanced dexterity and visualization.
Keywords: robotic surgery; gynecology; myomectomy; hysterectomy; endometriosis; pelvic organ prolapse; minimally invasive surgery robotic surgery; gynecology; myomectomy; hysterectomy; endometriosis; pelvic organ prolapse; minimally invasive surgery

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MDPI and ACS Style

Capozzi, V.A.; Scarpelli, E.; Armano, G.; Monfardini, L.; Celardo, A.; Munno, G.M.; Fortunato, N.; Vagnetti, P.; Schettino, M.T.; Grassini, G.; et al. Update of Robotic Surgery in Benign Gynecological Pathology: Systematic Review. Medicina 2022, 58, 552. https://doi.org/10.3390/medicina58040552

AMA Style

Capozzi VA, Scarpelli E, Armano G, Monfardini L, Celardo A, Munno GM, Fortunato N, Vagnetti P, Schettino MT, Grassini G, et al. Update of Robotic Surgery in Benign Gynecological Pathology: Systematic Review. Medicina. 2022; 58(4):552. https://doi.org/10.3390/medicina58040552

Chicago/Turabian Style

Capozzi, Vito Andrea, Elisa Scarpelli, Giulia Armano, Luciano Monfardini, Angela Celardo, Gaetano Maria Munno, Nicola Fortunato, Primo Vagnetti, Maria Teresa Schettino, Giulia Grassini, and et al. 2022. "Update of Robotic Surgery in Benign Gynecological Pathology: Systematic Review" Medicina 58, no. 4: 552. https://doi.org/10.3390/medicina58040552

APA Style

Capozzi, V. A., Scarpelli, E., Armano, G., Monfardini, L., Celardo, A., Munno, G. M., Fortunato, N., Vagnetti, P., Schettino, M. T., Grassini, G., Labriola, D., Loreto, C., Torella, M., & Cianci, S. (2022). Update of Robotic Surgery in Benign Gynecological Pathology: Systematic Review. Medicina, 58(4), 552. https://doi.org/10.3390/medicina58040552

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