Skip to main content

Robotic Approach to Management of Fibroids

  • Chapter
  • First Online:
Minimally Invasive Gynecological Surgery

Abstract

The integration of robotics into the field of gynecologic surgery initially involved a voice-recognition system and robotic control of laparoscopic camera movement (AESOP® Endoscope Positioner (Computer Motion Inc., Goleta, CA)). This technology further evolved with the ZEUS® Surgical System (Computer Motion Inc., Goleta, CA) to include two robotic arms, thereby allowing the surgeon to operate from a console away from the operative table. The da Vinci Surgical System® (Intuitive Surgical, Sunnyvale, CA, USA), which was approved for gynecologic surgery in 2005 by the United States Food and Drug Administration, incorporates three or four robotic arms to allow surgeon control of the visual field and up to three laparoscopic instruments.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Advincula AP (2006) Surgical techniques: robot-assisted laparoscopic hysterectomy with the da Vinci surgical system. Int J Med Robot 2(4):305–311

    Article  CAS  PubMed  Google Scholar 

  • Advincula AP, Wang K (2009) Evolving role and current state of robotics in minimally invasive gynecologic surgery. J Minim Invasive Gynecol 16(3):291–301

    Article  PubMed  Google Scholar 

  • Advincula AP, Song A, Burke W, Reynolds RK (2004) Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc 11(4):511e8

    Article  Google Scholar 

  • Advincula AP, Xu X, Goudeau S 4th, Ransom SB (2007) Robot-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparison of short-termsurgical outcomes and immediate costs. J Minim Invasive Gynecol 14(6):698e705

    Article  Google Scholar 

  • Alessandri F, Remorgida V, Venturini PL, Ferrero S (2010) Unidirectional barbed suture versus continuous suture with intracorporeal knots in laparoscopic myomectomy: a randomized study. J Minim Invasive Gynecol 17(6):725–729

    Article  PubMed  Google Scholar 

  • Ascher-Walsh CJ, Capes TL (2010) Robot-assisted laparoscopic myomectomy is an improvement over laparotomy in women with a limited number of myomas. J Minim Invasive Gynecol 17(3):306e10

    Article  Google Scholar 

  • Barakat EE, Bedaiwy MA, Zimberg S, Nutter B, Nosseir M, Falcone T (2011) Robotic assisted, laparoscopic, and abdominal myomectomy: a comparison of surgical outcomes. Obstet Gynecol 117:256e65

    Article  Google Scholar 

  • Barton SE, Gargiulo AR (2012) Robot-assisted laparoscopic myomectomy and adenomyomectomy with a flexible CO2 laser device. J Robotic Surg 1–6. doi:10.1007/s11701-012-0360-5

  • Bedient CE, Magrina JF, Noble BN, Kho RM (2009) Comparison of robotic and laparoscopic myomectomy. Am J Obstet Gynecol 201(6):566.e1e5

    Article  Google Scholar 

  • Behera MA, Likes CE 3rd, Judd JP, Barnett JC, Havrilesky LJ, Wu JM (2012) Cost analysis of abdominal, laparoscopic, and robotic-assisted myomectomies. J Minim Invasive Gynecol 19(1):52–57

    Article  PubMed  Google Scholar 

  • Diaz-Arrastia C, Jurnalov C, Gomez G, Townsend C Jr (2002) Laparoscopic hysterectomy using a computer-enhanced surgical robot. Surg Endosc 16(9):1271–1273

    Article  CAS  PubMed  Google Scholar 

  • Doyle PJ, Kilic GS, Breitkopf D, Xu Y, King B (2011) Initial experience of residents with robotic assisted hysterectomies. Abstract. J Minim Invasive Gynecol 18:S91–S113

    Article  Google Scholar 

  • Einarsson JI (2010) Single-incision laparoscopic myomectomy. J Minim Invasive Gynecol 17(3):371–373

    Article  PubMed  Google Scholar 

  • Einarsson JI, Chavan NR, Suzuki Y, Jonsdottir G, Vellinga TT, Greenberg JA (2011a) Use of bidirectional barbed suture in laparoscopic myomectomy: evaluation of perioperative outcomes, safety, and efficacy. J Minim Invasive Gynecol 18(1):92–95

    Article  CAS  PubMed  Google Scholar 

  • Einarsson JI, Hibner M, Advincula AP (2011b) Side docking: an alternative docking method for gynecologic robotic surgery. Rev Obstet Gynecol 4(3–4):123–125

    PubMed Central  PubMed  Google Scholar 

  • Falcone T, Goldberg J, Garcia-Ruiz A, Margossian H, Stevens L (1999) Full robotic assistance for laparoscopic tubal anastomosis: a case report. J Laparoendosc Adv Surg Tech A 9(1):107–113

    Article  CAS  PubMed  Google Scholar 

  • Fiorentino RP, Zepeda MA, Goldstein BH, John CR, Rettenmaier MA (2006) Pilot study assessing robotic laparoscopic hysterectomy and patient outcomes. J Minim Invasive Gynecol 13(1):60–63

    Article  PubMed  Google Scholar 

  • Gargiulo AR (2011) Fertility preservation and the role of robotics. Clin Obstet Gynecol 54(3):431–448

    Article  PubMed  Google Scholar 

  • Gargiulo AR, Nezhat C (2011) Robot-assisted laparoscopy, natural orifice transluminal endoscopy, and single-site laparoscopy in reproductive surgery. Semin Reprod Med 29(2):155–168

    Article  PubMed  Google Scholar 

  • Gargiulo AR, Srouji SS, Missmer SA, Correia KF, Vellinga T, Einarsson JI (2012a) Robot-assisted laparoscopic myomectomy compared with standard laparoscopic myomectomy. Obstet Gynecol 120:284–291

    Article  PubMed  Google Scholar 

  • Gargiulo AR, Bailey AP, Srouji SS (2012b) Robot-assisted single-incision laparoscopic myomectomy: initial report and technique. J Robot Surg. doi:10.1007/s11701-012-0356-1

    Google Scholar 

  • Geller EJ, Siddiqui NY, Wu JM, Visco AG (2008) Short-term outcomes of robotic sacrocolpopexy compared with abdominal sacrocolpopexy. Obstet Gynecol 112(6):1201–1206

    Article  PubMed  Google Scholar 

  • Geller EJ, Schuler KM, Boggess JF (2011) Robotic surgical training program in gynecology: how to train residents and fellows. J Minim Invasive Gynecol 18:224–229

    Article  PubMed  Google Scholar 

  • Germain A, Thibault F, Galifet M, Scherrer ML, Ayav A, Hubert J, Brunaud L, Bresler L (2013) Long-term outcomes after totally robotic sacrocolpopexy for treatment of pelvic organ prolapse. Surg Endosc 27:525–529

    Article  CAS  PubMed  Google Scholar 

  • Greenberg JA, Einarsson JI (2008) The use of bidirectional barbed suture in laparoscopic myomectomy and total laparoscopic hysterectomy. J Minim Invasive Gynecol 15(5):621–623

    Article  PubMed  Google Scholar 

  • Gunderson CC, Knight J, Ybanez-Morano J, Ritter C, Escobar PF, Ibeanu O, Grumbine FC, Bedaiwy MA, Hurd WW, Fader AN (2012) The risk of umbilical hernia and other complications with laparoendoscopic single-site surgery. J Minim Invasive Gynecol 19(1):40–45

    Article  PubMed  Google Scholar 

  • Hong DG, Lee YS, Park NY, Chong GO, Park IS, Cho YL (2011) Robotic uterine artery preservation and nerve-sparing radical trachelectomy with bilateral pelvic lymphadenectomy in early-stage cervical cancer. Int J Gynecol Cancer 21(2):391–396

    Article  PubMed  Google Scholar 

  • Koh C, Janik G (2003) Laparoscopic myomectomy: the current status. Curr Opin Obstet Gynecol 15(4):295–301

    PubMed  Google Scholar 

  • Kongnyuy EJ, Wiysonge CS (2011) Interventions to reduce haemorrhage during myomectomy for fibroids. Cochrane Database Syst Rev (11):CD005355

    Google Scholar 

  • Lee YL, Kilic G, Phelps JY (2012) Liability exposure for surgical robotics instructors. J Minim Invasive Gynecol 19(3):376–379

    Article  PubMed  Google Scholar 

  • Lenihan JP Jr, Kovanda C, Seshadri-Kreaden U (2008) What is the learning curve for robotic assisted gynecologic surgery? J Minim Invasive Gynecol 15:589–594

    Article  PubMed  Google Scholar 

  • Lim PC, Kang E, Park do H (2011) A comparative detail analysis of the learning curve and surgical outcome for robotic hysterectomy with lymphadenectomy versus laparoscopic hysterectomy with lymphadenectomy in treatment of endometrial cancer: a case-matched controlled study of the first one hundred twenty two patients. Gynecol Oncol 120:413–418

    Article  PubMed  Google Scholar 

  • Liu G, Zolis L, Kung R, Melchior M, Singh S, Cook EF (2010) The laparoscopic myomectomy: a survey of Canadian gynaecologists. J Obstet Gynaecol Can 32(2):139–148

    PubMed  Google Scholar 

  • Lönnerfors C, Persson J (2011) Pregnancy following robot-assisted laparoscopic myomectomy in women with deep intramural myomas. Acta Obstet Gynecol Scand 90(9):972–977

    Article  PubMed  Google Scholar 

  • Magrina JF, Espada M, Munoz R, Noble BN, Kho RMC (2009) Robotic adnexectomy compared with laparoscopy for adnexal mass. Obstet Gynecol 114(3):581–584

    Article  PubMed  Google Scholar 

  • Magrina JF, Zanagnolo V, Noble BN, Kho RM, Magtibay P (2011) Robotic approach for ovarian cancer: perioperative and survival results and comparison with laparoscopy and laparotomy. Gynecol Oncol 121(1):100–105

    Article  PubMed  Google Scholar 

  • Mais V, Ajossa S, Guerriero S et al (1996) Laparoscopic versus abdominal myomectomy: a prospective, randomized trial to evaluate benefits in early outcome. Am J Obstet Gynecol 174:654–658

    Article  CAS  PubMed  Google Scholar 

  • Mansour FW, Kives S, Urbach DR, Lefebvre G (2012) Robotically assisted laparoscopic myomectomy: a Canadian experience. J Obstet Gynaecol Can 34(4):353–358

    PubMed  Google Scholar 

  • Marchal F, Rauch P, Vandromme J, Laurent I, Lobontiu A, Ahcel B, Verhaeghe JL, Meistelman C, Degueldre M, Villemot JP, Guillemin F (2005) Telerobotic-assisted laparoscopic hysterectomy for benign and oncologic pathologies: initial clinical experience with 30 patients. Surg Endosc 19(6):826–831

    Article  CAS  PubMed  Google Scholar 

  • Nash K, Feinglass J, Zei C, Lu G, Mengesha B, Lewicky-Gaupp C, Lin A (2012) Robotic-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparative analysis of surgical outcomes and costs. Arch Gynecol Obstet 285(2):435–440

    Article  PubMed  Google Scholar 

  • Nezhat C, Lavie O, Lemyre M, Unal E, Nezhat CH, Nezhat F (2009a) Robot-assisted laparoscopic surgery in gynecology: scientific dream or reality? Fertil Steril 91(6):2620–2622

    Article  PubMed  Google Scholar 

  • Nezhat C, Lavie O, Hsu S, Watson J, Barnett O, Lemyre M (2009b) Robotic-assisted laparoscopic myomectomy compared with standard laparoscopic myomectomy–a retrospective matched control study. Fertil Steril 91(2):556–559

    Article  PubMed  Google Scholar 

  • Nezhat C, Lavie O, Hsu S, Watson J, Barnett O, Lemyre M (2009c) Robotic-assisted laparoscopic myomectomy compared with standard laparoscopic myomectomy: retrospective matched control study. Fertil Steril 91(2):556e9

    Article  Google Scholar 

  • Nezhat C, Lewis M, Kotikela S et al (2010) Robotic versus standard laparoscopy for the treatment of endometriosis. Fertil Steril 94(7):2758–2760

    Article  PubMed  Google Scholar 

  • Paley PJ, Veljovich DS, Shah CA, Everett EN, Bondurant AE, Drescher CW, Peters WA 3rd (2011) Surgical outcomes in gynecologic oncology in the era of robotics: analysis of first 1000 cases. Am J Obstet Gynecol 204(6):551.e1–9

    Article  Google Scholar 

  • Palomba S, Zupi E, Falbo A et al (2007) A multicenter randomized, controlled study comparing laparoscopic versus minilaparotomic myomectomy: reproductive outcomes. Fertil Steril 88:933–941

    Article  PubMed  Google Scholar 

  • Parker WH, Einarsson J, Istre O, Dubuisson JB (2010) Risk factors for uterine rupture after laparoscopic myomectomy. J Minim Invasive Gynecol 17(5):551–554

    Article  PubMed  Google Scholar 

  • Payne TN, Pitter MC (2011) Robotic-assisted surgery for the community gynecologist: can it be adopted? Clin Obstet Gynecol 54(3):391–411

    Article  PubMed  Google Scholar 

  • Pitter MC, Anderson P, Blissett A, Pemberton N (2008) Robotic-assisted gynaecological surgery-establishing training criteria; minimizing operative time and blood loss. Int J Med Robot 4(2):114–120

    Article  PubMed  Google Scholar 

  • Prentice A, Taylor A, Sharma MA, Magos A (2004) Laparoscopic versus open myomectomy for uterine fibroids. Cochrane Database Syst Rev (1)

    Google Scholar 

  • Quaas AM, Einarsson JI, Srouji S, Gargiulo AR (2010) Robotic myomectomy: a review of indications and techniques. Rev Obstet Gynecol 3(4):185–191

    PubMed Central  PubMed  Google Scholar 

  • Rosen DM, Hamani Y, Cario GM, Chou D (2009) Uterine perfusion following laparoscopic clipping of uterine arteries at myomectomy. Aust N Z J Obstet Gynaecol 49(5):559–560

    Article  PubMed  Google Scholar 

  • Seamon LG, Cohn DE, Richardson DL, Valmadre S, Carlson MJ, Phillips GS, Fowler JM (2008) Robotic hysterectomy and pelvic-aortic lymphadenectomy for endometrial cancer. Obstet Gynecol 112(6):1207–1213

    Article  PubMed  Google Scholar 

  • Seracchioli R, Rossi S, Govoni F et al (2000) Fertility and obstetric outcome after laparoscopic myomectomy of large myomata: a randomized comparison with abdominal myomectomy. Hum Reprod 15:2663–2668

    Article  CAS  PubMed  Google Scholar 

  • Silverman S, Orbuch L, Orbuch I (2012) Parallel side-docking technique for gynecologic procedures utilizing the da Vinci robot. J Robot Surg 6:247–249

    Article  Google Scholar 

  • Sinha RY, Hegde A, Warty N et al (2004) Laparoscopic devascularization of uterine myomata followed by enucleation of the myomas by direct morcellation. J Am Assoc Gynecol Laparosc 11:99–102

    Article  PubMed  Google Scholar 

  • Smith AL, Krivak TC, Scott EM, Rauh-Hain JA, Sukumvanich P, Olawaiye AB, Richard SD (2012) Dual-console robotic surgery compared to laparoscopic surgery with respect to surgical outcomes in a gynecologic oncology fellowship program. Gynecol Oncol 126(3):432–436

    Article  PubMed  Google Scholar 

  • Stylopoulos N, Rattner D (2003) Robotics and ergonomics. Surg Clin North Am 83:1321–1337

    Article  PubMed  Google Scholar 

  • Tusheva OA, Gyang A, Patel SD (2013) Reproductive outcomes following robotic assisted laparoscopic myomectomy (RALM). J Robot Surg 7(1):65–69

    Article  Google Scholar 

  • Vercellino G, Erdemoglu E, Joe A, Hopfenmueller W, Holthaus B, Köhler C, Schneider A, Hasenbein K, Chiantera V (2012) Laparoscopic temporary clipping of uterine artery during laparoscopic myomectomy. Arch Gynecol Obstet 286(5):1181–1186

    Google Scholar 

  • Weinberg L, Rao S, Escobar PF (2011) Robotic surgery in gynecology: an updated systematic review. Obstet Gynecol Int 2011:852061. doi: 10.1155

    Google Scholar 

  • Yacoub A, Ferdynus C, Tixier H, Mourtialon P, Pinard E, Dunand A, Sagot P, Douvier S (2010) Laparoscopic (LSC) Versus Robotic (RASC) Sacrocolcopexy. Comparison of learning curve of a single laparoscopic experimented surgeon in Dijon Teaching Hospital, France. Abstract. J Minim Invasive Gynecol 17:S178–S188

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karen C. Wang MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Tusheva, O.A., Cohen, S.L., Wang, K.C. (2015). Robotic Approach to Management of Fibroids. In: Istre, O. (eds) Minimally Invasive Gynecological Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44059-9_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-44059-9_12

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-44058-2

  • Online ISBN: 978-3-662-44059-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics