Robot-assisted myomectomy

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Robot-assisted myomectomy. / Lonnerfors, Celine.

In: Best Practice and Research: Clinical Obstetrics and Gynaecology, Vol. 46, 2018, p. 113-119.

Research output: Contribution to journalArticle

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TY - JOUR

T1 - Robot-assisted myomectomy

AU - Lonnerfors, Celine

PY - 2018

Y1 - 2018

N2 - 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.

AB - 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.

KW - Myomectomy

KW - Robotic surgery

KW - Single-site

KW - Uterine fibroids

KW - Uterine myomas

UR - http://www.scopus.com/inward/record.url?scp=85034997270&partnerID=8YFLogxK

U2 - 10.1016/j.bpobgyn.2017.09.005

DO - 10.1016/j.bpobgyn.2017.09.005

M3 - Article

VL - 46

SP - 113

EP - 119

JO - Best Practice and Research in Clinical Obstetrics and Gynaecology

T2 - Best Practice and Research in Clinical Obstetrics and Gynaecology

JF - Best Practice and Research in Clinical Obstetrics and Gynaecology

SN - 1532-1932

ER -