Robotic Surgery for Gynecologic Cancer: Optimism or Controversy in Surgical Oncology?
DOI:
https://doi.org/10.22376/ijtos.2024.2.4.19-24Keywords:
Robotic, Robotic Surgery, Cancer, Radiation, Chemotherapy, Gynecologic and oncologistsAbstract
Robotic Surgery has made possible to remove cancerous organs and tissues in gynecologic cancer patients with less invasive methods. Gynecologist have observed that these minimally invasive surgeries often result in fewer complications and a faster recovery time. As robotic technology continues to develop, the potential advantages of robotic surgery in gynecologic oncology are becoming increasingly evident. Robotic Surgery offers greater precision and control during complex procedures, which can lead to improved patient outcomes and fewer complications. Robotic surgery can often outcome in smaller hospital halts and a rapid return to normal activities. Consequently, more and more GOs are adopting Robotic Surgery to provide their patients with the most advanced and effective treatment options available. Robotic Surgery is now a viable option compared to traditional open surgery. Since its extensive use, negligibly aggressive surgery has become a suitable choice not only for those with severe obesity, but also for women with gynecologic cancers, where traditional open surgery is often associated with significant complications. This review investigates the rationale behind Robotic Surgery, evaluates early results, analyzes its cost-effectiveness and implications for surgical training, and explores innovative applications of robotic-surgical procedure in the treatment of gynecologic cancer.
References
Hamilton CA, Pothuri B, Arend RC, Backes FJ, Gehrig PA, Soliman PT, Thompson JS, Urban RR, Burke WM. Endometrial cancer: A society of gynecologic oncology evidence-based review and recommendations. Gynecologic oncology. 2021 Mar 1;160(3):817-26.
Kakkos A, Ver Eecke C, Ongaro S, Traen K, Peeters F, Van Trappen P, Laenen A, Despierre E, Van Nieuwenhuysen E, Vergote I, Goffin F. Robot-assisted surgery for women with endometrial cancer: Surgical and oncologic outcomes within a Belgium gynaecological oncology group cohort. European Journal of Surgical Oncology. 2021 May 1;47(5):1117-23.
Rogers T, Bhat KS, Moschovas M, Onol F, Jenson C, Roof S, Gallo N, Sandri M, Gallo B, Patel V. Use of transversus abdominis plane block to decrease pain scores and narcotic use following robot-assisted laparoscopic prostatectomy. Journal of Robotic Surgery. 2021 Feb;15(1):81-6.
Johansson B, Eriksson E, Berglund N, Lindgren I. Robotic Surgery: Review on Minimally Invasive Techniques. Fusion of Multidisciplinary Research, An International Journal. 2021 Jul 14;2(2):201-10.
Uwins C, Patel H, Bhandoria GP, Butler-Manuel S, Tailor A, Ellis P, Chatterjee J. Laparoscopic and robotic surgery for endometrial and cervical cancer. Clinical Oncology. 2021 Sep 1;33(9):e372-82.
Omisore OM, Han S, Xiong J, Li H, Li Z, Wang L. A review on flexible robotic systems for minimally invasive surgery. IEEE Transactions on Systems, Man, and Cybernetics: Systems. 2020 Oct 16;52(1):631-44.
Longmore SK, Naik G, Gargiulo GD. Laparoscopic robotic surgery: Current perspective and future directions. Robotics. 2020 May 27;9(2):42.
Cardenas-Goicoechea J, Adams S, Bhat SB, Randall TC. Surgical outcomes of robotic-assisted surgical staging for endometrial cancer are equivalent to traditional laparoscopic staging at a minimally invasive surgical center. Gynecologic oncology. 2010 May 1;117(2):224-8.
Puntambekar SP, Rajesh KN, Goel A, Hivre M, Bharambe S, Chitale M, Panse M. Colorectal cancer surgery: by Cambridge medical robotics versius surgical robot system-a single-institution study. Our experience. Journal of Robotic Surgery. 2022 Jun;16(3):587-96.
Advincula AP. Surgical techniques: robot‐assisted laparoscopic hysterectomy with the da Vinci® surgical system. The international Journal of medical robotics and computer assisted surgery. 2006 Dec;2(4):305-11.
Uwins C, Patel H, Bhandoria GP, Butler-Manuel S, Tailor A, Ellis P, Chatterjee J. Laparoscopic and robotic surgery for endometrial and cervical cancer. Clinical Oncology. 2021 Sep 1;33(9):e372-82.
Kim YT, Kim SW, Hyung WJ, Lee SJ, Nam EJ, Lee WJ. Robotic radical hysterectomy with pelvic lymphadenectomy for cervical carcinoma: a pilot study. Gynecologic oncology. 2008 Feb 1;108(2):312-6.
Sert MB, Abeler V. Robot-assisted laparoscopic radical hysterectomy: comparison with total laparoscopic hysterectomy and abdominal radical hysterectomy; one surgeon's experience at the Norwegian Radium Hospital. Gynecologic oncology. 2011 Jun 1;121(3):600-4.
Boggess JF, Gehrig PA, Cantrell L, Shafer A, Ridgway M, Skinner EN, Fowler WC. A case-control study of robot-assisted type III radical hysterectomy with pelvic lymph node dissection compared with open radical hysterectomy. American journal of obstetrics and gynecology. 2008 Oct 1;199(4):357-e1.
Magrina JF, Kho RM, Weaver AL, Montero RP, Magtibay PM. Robotic radical hysterectomy: comparison with laparoscopy and laparotomy. Gynecologic oncology. 2008 Apr 1;109(1):86-91.
Van Trappen P, de Cuypere E, Claes N. Robotic surgery in early and advanced ovarian cancer: Case selection for surgical staging and interval debulking surgery. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2023 Jan 1;280:7-11.
Mendivil A, Holloway RW, Boggess JF. Emergence of robotic assisted surgery in gynecologic oncology: American perspective. Gynecologic oncology. 2009 Aug 1;114(2):S24-31.
Verheijen R, Zweemer R. Robotic surgery for gynaecologic cancer: an overview. Current oncology reports. 2012 Dec;14:544-9.
Ozols RF, Bundy BN, Greer BE, Fowler JM, Clarke-Pearson D, Burger RA, Mannel RS, DeGeest K, Hartenbach EM, Baergen R. Phase III trial of carboplatin and paclitaxel compared with cisplatin and paclitaxel in patients with optimally resected stage III ovarian cancer: a Gynecologic Oncology Group study. Journal of Clinical Oncology. 2003 Sep 1;21(17):3194-200.
Gallotta V, Certelli C, Oliva R, Rosati A, Federico A, Loverro M, Lodoli C, Foschi N, Lathouras K, Fagotti A, Scambia G. Robotic surgery in ovarian cancer. Best Practice & Research Clinical Obstetrics & Gynaecology. 2023 Jul 12:102391.
Zhang Y, Grant MS, Zhang X, Paraghamian SE, Tan X, Clark LH. Comparing laparotomy with robot-assisted interval debulking surgery for patients with advanced epithelial ovarian cancer receiving neoadjuvant chemotherapy. Journal of Minimally Invasive Gynecology. 2021 Jun 1;28(6):1237-43.
Holloway RW, Brudie LA, Rakowski JA, Ahmad S. Robotic-assisted resection of liver and diaphragm recurrent ovarian carcinoma: description of technique. Gynecologic oncology. 2011 Mar 1;120(3):419-22.
Magrina JF, Zanagnolo V, Noble BN, Kho RM, Magtibay P. Robotic approach for ovarian cancer: perioperative and survival results and comparison with laparoscopy and laparotomy. Gynecologic oncology. 2011 Apr 1;121(1):100-5.
Walker JL, Piedmonte MR, Spirtos NM, Eisenkop SM, Schlaerth JB, Mannel RS, Spiegel G, Barakat R, Pearl ML, Sharma SK. Laparoscopy compared with laparotomy for comprehensive surgical staging of uterine cancer: Gynecologic Oncology Group Study LAP2. Journal of Clinical Oncology. 2009 Nov 10;27(32):5331-6.
Walker JL, Piedmonte MR, Spirtos NM, Eisenkop SM, Schlaerth JB, Mannel RS, Barakat R, Pearl ML, Sharma SK. Recurrence and survival after random assignment to laparoscopy versus laparotomy for comprehensive surgical staging of uterine cancer: Gynecologic Oncology Group LAP2 Study. Journal of Clinical Oncology. 2012 Mar 1;30(7):695-700.
Lim PC, Kang E, Park DH. A comparative detail analysis of the learning curve and surgical outcome for robotic hysterectomy with lymphadenectomy versus laparoscopic hysterectomy with lymphadenectomy in treatment of endometrial cancer: a case-matched controlled study of the first one hundred twenty two patients. Gynecologic oncology. 2011 Mar 1;120(3):413-8.
Akar ME, Carrillo AJ, Jennell JL, Yalcinkaya TM. Robotic-assisted laparoscopic ovarian tissue transplantation. Fertility and sterility. 2011 Mar 1;95(3):1120-e5.
Ramirez PT, Schmeler KM, Malpica A, Soliman PT. Safety and feasibility of robotic radical trachelectomy in patients with early-stage cervical cancer. Gynecologic oncology. 2010 Mar 1;116(3):512-5.
Haie-Meder C, Mlika-Cabanne N, Michel G, Briot E, Gerbaulet A, Lhomme C, Cosset JM, Sarrazin D, Flamant F, Hayatu M. Radiotherapy after ovarian transposition: ovarian function and fertility preservation. International Journal of Radiation Oncology* Biology* Physics. 1993 Feb 15;25(3):419-24.
Falcone T, Walters MD. Hysterectomy for benign disease. Obstetrics & Gynecology. 2008 Mar 1;111(3):753-67.
Kilic GS, Borahay M, Phelps JY. Introduction of robotic surgery: pitfalls and future. Textbook of Gynaecological Oncology. 2011:606-14.
Seamon LG, Cohn DE, Henretta MS, Kim KH, Carlson MJ, Phillips GS, Fowler JM. Minimally invasive comprehensive surgical staging for endometrial cancer: robotics or laparoscopy?. Gynecologic oncology. 2009 Apr 1;113(1):36-41.
Lee YL, Kilic GS, Phelps JY. Medicolegal review of liability risks for gynecologists stemming from lack of training in robot-assisted surgery. Journal of Minimally Invasive Gynecology. 2011 Jul 1;18(4):512-5.
Hettiarachchi TS, Askari A, Rudge E, Hao LT, Sarwar S, Dowsett D, El Hadi A, Shaikh I. Comparison of robotic vs laparoscopic left-sided colorectal cancer resections. Journal of robotic surgery. 2023 Feb;17(1):205-13.
Huang Z, Li T, Zhang G, Zhou Z, Shi H, Tang C, Yang L, Lei X. Comparison of open, laparoscopic, and robotic left colectomy for radical treatment of colon cancer: a retrospective analysis in a consecutive series of 211 patients. World journal of surgical oncology. 2022 Oct 18;20(1):345.
Polat F, Willems LH, Dogan K, Rosman C. The oncological and surgical safety of robot-assisted surgery in colorectal cancer: outcomes of a longitudinal prospective cohort study. Surgical endoscopy. 2019 Nov;33:3644-55.
Marincola G, Procopio PF, Pennestrì F, Gallucci P, Voloudakis N, Ciccoritti L, Greco F, Salvi G, Prioli F, De Crea C, Raffaelli M. Robot-assisted vs laparoscopic bariatric procedures in super-obese patients: clinical and economic outcomes. Journal of Robotic Surgery. 2024 Jan 17;18(1):34.
Mavroforou A, Michalodimitrakis E, Hatzitheofilou C, Giannoukas A. Legal and ethical issues in robotic surgery. International angiology. 2010 Feb 1;29(1):75.
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