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MINERVA GINECOLOGICA

A Journal on Obstetrics and Gynecology


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Minerva Ginecologica 2017 Mar 07

DOI: 10.23736/S0026-4784.17.04045-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

The actual role of robotics in the management of endometriosis

Vito CELA, Maria E. OBINO , Claudia SERGIAMPIETRI, Giovanna SIMI, Francesca PAPINI, Sara PINELLI, Letizia FRESCHI, Paolo G. ARTINI

Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynecology Oncology, University of Pisa, Pisa, Italy


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The advent of robot-assisted laparoscopy (RAL) represents an important innovation and has opened new perspectives for treatment of endometriosis, in particular in deep infiltrating endometriosis (DIE). RAL could offer several technical advantages in treating this complex disease, such as 3D vision, tremor filtration and better surgical ergonomy, would be able to improve surgical performances without increasing in surgical time, blood loss, intra- and postoperative complications and it reduces the rates of conversion to laparotomy. Additionally thanks to its reduced learning curve compared to conventional laparoscopy, facilitates the training of less experienced surgeons. For these reason DIE might be one of the best indications for robot assisted laparoscopy in gynecologic surgery. However, very few retrospective studies, small cases series and only a randomized clinical trial were reported. Further randomized control trial comparing CL to RAL for different stage of endometriosis and the different type of procedure performed would be mandatory in order to define potential benefits of RAL for endometriosis surgery.


KEY WORDS: Robotic-assisted laparoscopy - Endometriosis surgery - Deep infiltrating endometriosis - Da Vinci system

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mariaelena.obino@gmail.com