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