Page 28 - Journal of Laparoscopic Surgery

Jayasree Santhosh

While a skilled robotic bedside assistant is essential, the robotic 12. Childers JM, Spirtos NM, Brainard P, et al. Laparoscopic
surgeon has the additional advantages of a stable camera and staging of the patient with incompletely staged early adeno-
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the poor ergonomics associated with laparoscopy, which leads 13. Spirtos NM, Schlaerth JB, Spirtos TW, et al. Laparoscopic
to surgeon discomfort and risk of chronic musculoskeletal bilateral pelvic and paraaortic lymph node sampling: An evolving
occupational injury, particularly during longer procedures. technique. Am J Obstet Gynecol 1995;173:105-11.
Although robotics offers many potential advantages for 14. Joan L walker, et al. J Clin Oncol 2009;27:5331-36. © by
American Society of Clinical Oncology.
endometrial staging procedures, there are many unknown 15. Holub Z, et al. Laparoscopic staging for endometrial cancer.
entities surrounding this new technology. Robotic surgery for Long term results of a multicentric study. Eur J Gynecol Oncol
2002; 23(4):305-10.
gynecology was approved only in April 2005, thus, limited 16. C Gurkan Zorlu, et al. Laparoscopy or laparotomy for the
published data exists of long-term survival advantage. management of endometrial cancer. JSLS Oct-Dec 2005;9(4):
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CONCLUSION 17. Jassen C Barnett, et al. Adverse event rates between laparoscopic
versus open surgery. Am J Obstet Gynecol 2011;204:20.
In conclusion, the data reported in this review article establishes 18. Susanna Granado de La Orden, et al. Laparoscopic hysterectomy
the role of minimal access surgical staging by laparoscopy and in the treatment of endometrial cancer: A systematic review.
robotics for the treatment of endometrial cancer. This is even Journal of Minimally Invasive Gynecology July-Aug 2008;15(4):
395-401.
more applicable for the obese, elderly women with comorbidities 19. Lowe, et al. A multiinstitutional experience with robotic assisted
who form a major subset of women with carcinoma endometrium. hysterectomy with staging for endometrial cancer. Am J Obstet
Robotics has the potential to dramatically expand the minimal Gynecol Aug 2009;114(2):236-43.
access surgical option for women undergoing surgery for 20. Pieretti Michelle A, et al. Robotic surgery: Changing the surgical
approach for endometrial cancer in a referral cancer center.
endometrial cancer. Although robotics represents a technologic Journal of Minimally Invasive Gynecology July 2009;16(4):
leap over traditional laparoscopy, long-term follow-up data are 427-31.
yet to be published. 21. Dan SA, et al. Robotic surgery in gynecologic oncology: Program
initiation and outcomes after the first year with comparison
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