Revisiting the application of robotic-assisted surgery in urogynecology and urology | Burns | Uro-Technology Journal

Revisiting the application of robotic-assisted surgery in urogynecology and urology

Jersey Beth Burns, Marie Fidela Paraiso

Abstract


Background: The advancement of minimally invasive surgical techniques has improved patient outcomes and reduced length of hospital stay. This review examines patient outcomes, cost, and efficiency of both the robotic-assisted and laparoscopic approaches to common procedures within urogynecology and urology.

Methods: This is a non-systematic review of the current literature comparing robotic-assisted and laparoscopic gynecologic and urologic procedures.

Results: The robotic-assisted techniques are overall less cost-effective and less efficient than laparoscopic approaches without a clear benefit in patient perioperative outcomes. With increasingly complex urologic procedures, such as radical prostatectomy or cystectomy, the robotic approach may improve short term functional outcomes with reduction in blood loss.

Conclusion: Both techniques are similar with respect to patient outcomes. Each urologic and urogynecologic surgeon should consider their own preferences, skill level, and the resources of their hospital system when determining surgical approach.

Keywords: minimally invasive surgery, laparoscopy, robotic-assisted surgery, urology, sacrocolpopexy, surgical outcomes




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