Advanced

Robot-assisted myomectomy

Lonnerfors, Celine LU (2018) In Best Practice and Research: Clinical Obstetrics and Gynaecology 46. p.113-119
Abstract

Uterine fibroids are the most common tumors of the uterus and the female pelvis and are associated with substantial morbidity for several women. In women with a wish to preserve fertility, a myomectomy is the surgical procedure of choice when medical therapy is inadequate. Despite evidence that minimally invasive surgery is preferable to laparotomy, most myomectomies are still performed by laparotomy. Robotic surgery was introduced to overcome some of the difficulties associated with laparoscopic surgery. A myomectomy is a suture-intensive surgery where the properties of a surgical robot have been suggested to be of particular value. Robotic myomectomy is feasible and safe, with similar outcome to laparoscopic surgery, although a... (More)

Uterine fibroids are the most common tumors of the uterus and the female pelvis and are associated with substantial morbidity for several women. In women with a wish to preserve fertility, a myomectomy is the surgical procedure of choice when medical therapy is inadequate. Despite evidence that minimally invasive surgery is preferable to laparotomy, most myomectomies are still performed by laparotomy. Robotic surgery was introduced to overcome some of the difficulties associated with laparoscopic surgery. A myomectomy is a suture-intensive surgery where the properties of a surgical robot have been suggested to be of particular value. Robotic myomectomy is feasible and safe, with similar outcome to laparoscopic surgery, although a robotic procedure is associated with a higher cost.The introduction of robotic surgery has expanded the indications for minimally invasive myomectomy to more complex cases previously performed by laparotomy. Randomized trials comparing different approaches to myomectomy are yet to be published. More studies are needed to determine the patients in whom a robotic approach is most beneficial, both in terms of patient outcomes and cost efficiency.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Myomectomy, Robotic surgery, Single-site, Uterine fibroids, Uterine myomas
in
Best Practice and Research: Clinical Obstetrics and Gynaecology
volume
46
pages
113 - 119
publisher
Elsevier
external identifiers
  • scopus:85034997270
ISSN
1521-6934
DOI
10.1016/j.bpobgyn.2017.09.005
language
English
LU publication?
yes
id
7bb1eb3f-b7ee-4178-854b-13428d2d9a9a
date added to LUP
2017-12-27 13:23:54
date last changed
2018-05-20 04:39:38
@article{7bb1eb3f-b7ee-4178-854b-13428d2d9a9a,
  abstract     = {<p>Uterine fibroids are the most common tumors of the uterus and the female pelvis and are associated with substantial morbidity for several women. In women with a wish to preserve fertility, a myomectomy is the surgical procedure of choice when medical therapy is inadequate. Despite evidence that minimally invasive surgery is preferable to laparotomy, most myomectomies are still performed by laparotomy. Robotic surgery was introduced to overcome some of the difficulties associated with laparoscopic surgery. A myomectomy is a suture-intensive surgery where the properties of a surgical robot have been suggested to be of particular value. Robotic myomectomy is feasible and safe, with similar outcome to laparoscopic surgery, although a robotic procedure is associated with a higher cost.The introduction of robotic surgery has expanded the indications for minimally invasive myomectomy to more complex cases previously performed by laparotomy. Randomized trials comparing different approaches to myomectomy are yet to be published. More studies are needed to determine the patients in whom a robotic approach is most beneficial, both in terms of patient outcomes and cost efficiency.</p>},
  author       = {Lonnerfors, Celine},
  issn         = {1521-6934},
  keyword      = {Myomectomy,Robotic surgery,Single-site,Uterine fibroids,Uterine myomas},
  language     = {eng},
  pages        = {113--119},
  publisher    = {Elsevier},
  series       = {Best Practice and Research: Clinical Obstetrics and Gynaecology},
  title        = {Robot-assisted myomectomy},
  url          = {http://dx.doi.org/10.1016/j.bpobgyn.2017.09.005},
  volume       = {46},
  year         = {2018},
}