Robot assisted laparoscopic surgery

Capsule:
In this Views and Reviews contribution, there are four articles that provide insight into the present and future applications of robot-assisted surgery. The potential application of this technology in reproductive surgery, oncology, general gynecology, and urology is an ongoing controversy.

Author:
Tommaso Falcone, M.D., F.R.C.S.C., F.A.C.O.G.

Volume 102, Issue 4, Pages 909-910

Abstract:

In this Views and Reviews contribution there are four articles that provide insight into the present and future applications of robot assisted surgery. The potential application of this technology in reproductive surgery, oncology, general gynecology and urology is an ongoing controversy.

  • Jason Kovac

    The debate about robotics in male infertility surgery will always be hotly debated. Is the skill of the surgeon not the key factor? For a trial to be valid, experts in both traditional and robotic vasectomy reversals should be directly compared with respect to outcomes, operative time and complications… a trial that would take years to conduct and report.

  • msamplaski

    The role of robotics in fertility is relatively minor, and clearly there is the potential for more. There are some Urologists performing robot assisted vasectomy reversals, however for a procedure that is cash pay, this increased cost is passed on to the patient. Furthermore the sparse results on robot-assisted versus microscopic vasectomy reversal does not support any increase in patency or pregnancy rates. However, fertility patients are young and innovative, and would certainly be interested in having the most advanced technology involved in their care. What is yet to be determined is in what capacity this will be.

  • Micah Hill

    Thank you Dr Falcone for your nice commentary! At our institution we get 1-2 robotic rooms per week for the REI service and are most commonly utilizing it for tubal reanastomosis and less frequently myomectomy. We typically place obese and difficult surgical cases into the robotic room and straight forward cases into a mini-lap/ microscope room. I have been wanting to take advantage of our set up to run some RCTs. Apart from the a comparison of robotic to microscope, do you have other thoughts on RCTs specificially for robotic tubal reanastomosis?

    • Tommaso Falcone

      Thanks for your comment. I think RCT between minilap-micro & robotics would be great. Please look at the return to work- which was a major difference in our retrospective assessment,

      • Micah Hill

        Great thought, thanks for the reply!

Translate »