REVIEW
Robot Assisted Operations in Gynecology (Review)
1 Department of Obstetrics and Gynecology No. 1, Medical Faculty,
Pirogov Russian National Research Medical University, Moscow, Russia
2 Central Clinical Hospital of Civil Aviation, Moscow
Correspondence should be addressed: Lyudmila Ozolinya
Ivankovskoe sh., d. 7, Moscow, Russia, 125367; ur.xednay@aynilozo
The article presents a review of literature on the use of the «Da Vinci» surgical robot when conducting gynecological and oncogynecological surgeries. The experience of a few authorial collectives which have analyzed the use of robot assisted surgeries concerning the endometrial cancer, cervical cancer, hysteromyoma and the tubal pathology is discussed and compared to the similar surgeries performed without a robot by a laparoscopic or laparotomic access. The results of the comparative analysis have shown that the use of the robotics significantly improves the quality of the surgery and there is a decrease in loss of blood, pain syndrome during the postsurgical period as well as the time spent in the in-patient department. On the other hand, without proper experience the duration of the surgery becomes longer and the cost of the surgery goes up, considering the high cost of the materials used. However, as noted by the authors, after fifty successfully performed operations conducted by the robot their duration reduces and becomes comparable with the traditional operations, and the cost of the materials used is going to go down in the near future. That is why this method of surgical treatment in gynaecology considered as a progressive and perspective one.
Keywords: robot assisted operations, endometrial cancer, cervical cancer, hysteromyoma, tubal pathology