Robotic Surgery

Robotic Surgery in Gynaecologic Oncology

An approach to surgery whereby operations are performed with specialized instruments designed to be inserted through small incisions or natural body openings.

  • Robotic surgical technology, represents the most significant advancement in minimally invasive surgery (MIS) of this decade.
  • The da Vinci Surgical System is the latest robotic technology and enables the surgeon to have a three-dimensional view of the patient.

The da Vinci® System has three major components: the vision system, the surgeon console, and the ro¬botic platform.

Surgeon controls the robotic arms-

  • 3D  HD vision
  • Endowrist instrumentation
  • Intuitive Motion
  • Filtration of tremors
  • Firefly technology for Sentinel lymph nodes in endometrial cancer

Finger masters control which convert human movements into electric signals that direct the robotic instruments.

In April 2005, da Vinci® was FDA-cleared for gyne¬cologic procedures

Advantages to the patient:

  • Keyhole surgery.
  • Less pain / Less Trauma
  • Less Blood loss
  • No delay in adjuvant treatment.

Advantages to the surgeon:

  • Immersive view through 1-2 cm incision
  • Overcome limitations of human wrist.
  • Reach inaccessible areas with ease.
  • No risk of transmission of disease.

Special Cases

  • Surgery in the morbidly obese presents a unique surgical challenge.
  • These patients more susceptible to postoperative complications such as poor wound healing,

Their body mass often makes the surgical procedure technically more challenging.

Indications of robotic surgery

  • Endometrial cancer – especially useful for sentinel lymph node dissection with firely
  • Early cases ovarian mass/ cancer
  • Cervical cancer – microinvasive carcinoma
  • Robotic VEIL
  • Oophoropexy in a patient of pelvic malignancy