Robotic surgery in gynecology: is the future already here?

Georgios Gitas, Lars Hanker, Achim Rody, Johannes Ackermann, Ibrahim Alkatout*

*Corresponding author for this work
1 Citation (Scopus)


Robotic-assisted surgery has gained widespread acceptance in the surgical community and appears to be the most rapidly developing sector of minimally invasive surgery. However, robotic surgery has been viewed as a development of, or alternative to, laparoscopic surgery and not necessarily as a superior technology. The advantages of MIS over open surgery apply to robotic-assisted surgery as well. Nevertheless, conflicting data have been published about the advantages and disadvantages of robotic-assisted and laparoscopic surgery. In the last few years, robotic-assisted surgery has been used for various gynecological procedures such as hysterectomy, lymphadenectomy, myomectomy, sacrocolpopexy or endometriosis operations. In the present review, we analyze the current use of robotic-assisted surgery and its efficiency in gynecology. Patient-based outcomes, such as quality of life and outcomes in morbidly obese patients are also addressed. The potential benefits of single-port robotic-assisted surgery are discussed. Most of the studies published so far state that robotic-assisted surgery does not essentially improve the surgical outcome compared to conventional laparoscopic surgery. However, randomized studies are scarce. Ongoing technological progress over the next few years may improve robotic-assisted techniques and thus optimize the patient’s treatment.

Original languageEnglish
JournalMinimally Invasive Therapy and Allied Technologies
Issue number6
Pages (from-to)815-824
Number of pages10
Publication statusPublished - 2022

Research Areas and Centers

  • Centers: University Cancer Center Schleswig-Holstein (UCCSH)


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