Current status of robotic assisted pelvic surgery and future developments

TY - JOUR

T1 - Current status of robotic assisted pelvic surgery and future developments

AU - Ahmed, Kamran

AU - Khan, Mohammad Shamim

AU - Vats, Amit

AU - Nagpal, Kamal

AU - Priest, Oliver

AU - Patel, Vanash

AU - Vecht, Joshua A

AU - Ashrafian, Hutan

AU - Yang, Guang-Zhong

AU - Athanasiou, Thanos

AU - Darzi, Ara

PY - 2009/10

Y1 - 2009/10

N2 - AIMS: The aim of this review is to assess the role of robotics in pelvic surgery in terms of outcomes. We have also highlighted the issues related to training and future development of robotic systems.MATERIALS AND METHODS: We searched MEDLINE, EMBASE and the Cochrane Databases from 1980 to 2009 for systematic reviews of randomised controlled trials, prospective observational studies, retrospective studies and case reports assessing robotic surgery.RESULTS: During the last decade, there has been a tremendous rise in the use of robotic surgical systems for all forms of precision operations including pelvic surgery. The short-term results of robotic pelvic surgery in the fields of urology, colorectal surgery and gynaecology have been shown to be comparable to the laparoscopic and open surgery. Robotic surgery offers an opportunity where many of these obstacles encountered during open and laparoscopic surgery can be overcome.CONCLUSIONS: Robotic surgery is a continually advancing technology, which has opened new horizons for performing pelvic surgery with precision and accuracy. Although its use is rapidly expanding in all surgical disciplines, particularly in pelvic surgery, further comparative studies are needed to provide robust guidance about the most appropriate application of this technology within the surgical armamentarium.

AB - AIMS: The aim of this review is to assess the role of robotics in pelvic surgery in terms of outcomes. We have also highlighted the issues related to training and future development of robotic systems.MATERIALS AND METHODS: We searched MEDLINE, EMBASE and the Cochrane Databases from 1980 to 2009 for systematic reviews of randomised controlled trials, prospective observational studies, retrospective studies and case reports assessing robotic surgery.RESULTS: During the last decade, there has been a tremendous rise in the use of robotic surgical systems for all forms of precision operations including pelvic surgery. The short-term results of robotic pelvic surgery in the fields of urology, colorectal surgery and gynaecology have been shown to be comparable to the laparoscopic and open surgery. Robotic surgery offers an opportunity where many of these obstacles encountered during open and laparoscopic surgery can be overcome.CONCLUSIONS: Robotic surgery is a continually advancing technology, which has opened new horizons for performing pelvic surgery with precision and accuracy. Although its use is rapidly expanding in all surgical disciplines, particularly in pelvic surgery, further comparative studies are needed to provide robust guidance about the most appropriate application of this technology within the surgical armamentarium.

KW - Colonic Diseases/surgery

KW - Humans

KW - Minimally Invasive Surgical Procedures/methods

KW - Pelvis/surgery

KW - Robotics/trends

KW - Urologic Diseases/surgery

U2 - 10.1016/j.ijsu.2009.08.008

DO - 10.1016/j.ijsu.2009.08.008

M3 - Review article

C2 - 19735746

SN - 1743-9191

VL - 7

SP - 431

EP - 440

JO - International journal of surgery (London, England)

JF - International journal of surgery (London, England)

IS - 5

ER -