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Minimally Invasive Surgery to Treat Gynecological Cancer: Conventional Laparoscopy and/or Robot-Assisted Surgery
  1. Lucas Minig, MD, PhD*,
  2. María Teresa Achilarre, MD,
  3. Annalisa Garbi, MD and
  4. Vanna Zanagnolo, MD
  1. *Gynecology Department, Instituto Valenciano de Oncología, Valencia, Spain; and
  2. Gynecology Department, European Institute of Oncology, Milan, Italy.
  1. Address correspondence and reprint requests to Lucas Minig, MD, PhD, MBA, Gynecology Department, Clinical Area of Gynecologic Oncology, Valencian Institute of Oncology, C/del Profesor Beltran Baguena 8, 46009, Valencia, Spain. E-mail: miniglucas@gmail.com.

Abstract

Abstract Robotic-assisted surgery is a technological advancement derived from conventional laparoscopy, which facilitates the application of minimally invasive techniques for complex operations in the field of gynecological oncology. However, its introduction in gynecological cancer has been scarce in most hospitals worldwide. Most publications on robotic surgery are still retrospective or descriptive in nature. Some studies compare robotic-assisted laparoscopy with open procedures, which is a questionable analysis, because the advantages of minimally invasive surgery have been already well established. Robotic surgery should be directly compared with conventional laparoscopy to determine whether its additional direct and indirect costs are in accordance with some improvements within patient clinical outcomes. On the other hand, the role of robotic-assisted surgery in allowing more patients to receive the benefits of the minimally invasive approach should also be considered. The objective of this article was, therefore, to review the literature regarding the role of conventional and robotic-assisted laparoscopy to treat women with gynecologic cancer.

  • Ovarian cancer
  • Endometrial cancer
  • Cervical cancer
  • Cost effective analysis
  • Robotic surgery
  • Gynecological cancer
  • Learning curve
  • Minimally invasive surgery

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Footnotes

  • The authors declare no conflicts of interest.

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