Role of robotic surgery in treating fibroids and benign uterine mass. (November 2017)

• Record Type: Journal Article
• Authors: Kim, Suejin; Luu, Thanh Ha; Llarena, Natalia; Falcone, Tommaso
• Is Part Of: Best practice & research. Volume 45(2017)
• Page Start: 48
• Page End: 59
• Publication Date: 2017-11
• Subjects: fibroid -- myomectomy -- hysterectomy -- robot -- laparoscopy -- gynecology; Gynecology -- Periodicals; Obstetrics -- Periodicals; Genital Diseases, Female; Obstetrics; Gynecology; Obstetrics; Periodicals; 618.05
• DOI: 10.1016/j.bpobgyn.2017.04.004
• Languages: English
• ISSNs: 1521-6934

Abstract

Abstract : Fibroid uterus can be managed medically, surgically, or through non-extirpative procedures, depending on the clinical situation. Myomectomy may be beneficial, especially to those desiring to preserve the uterus and/or fertility, with outcomes comparable to those of hysterectomy, with a laparoscopic approach being favored when feasible. For definitive therapy, hysterectomy can be pursued where the surgical approach should be individualized. Comparison of robotic-assisted laparoscopic approach shows that the robotic approach may be favored for cases with higher complexity and multiple fibroids in myomectomy; however, no clear advantage is seen with hysterectomy at this time, necessitating further research in the area of robotics for hysterectomy in benign uterine mass treatment to justify the cost.