Surgical Endoscopy

, Volume 21, Issue 2, pp 244–246 | Cite as

Computer-enhanced robotic surgery in gynecologic oncology

  • Jayson B. FieldEmail author
  • Michelle F. Benoit
  • Tri A. Dinh
  • Concepcion Diaz-Arrastia



This study aimed to report the computer-enhanced robotic surgery experience of the authors’ gynecologic oncology division.


From January 2001 to August 2006, 41 patients underwent laparoscopic surgery by our gynecologic oncology service using a computer-enhanced surgical robot. This report describes a retrospective review of these patients.


The patients ranged in age from 27 to 77 years (mean, 44.2 years), in weight from 44 to 131 kg (mean, 72.1 kg), in operative time from 1 h and 50 min to 9 h (mean, 5 h and 2 min), and in estimated blood loss from 50 to 1,500 ml (mean, 253 ml). Of the 20 patients with gynecologic malignancies, 14 had cervical cancer. A total of 21 patients had benign indications for surgery. Complications included shoulder palsy, robot failure, colotomy, bradycardia, and intraabdominal bleeding requiring minilaparotomy and ligation of a bleeding pedicle.


This case series is one of the first to report the use of a computer-enhanced surgical robot in gynecologic oncology. This approach proved to be feasible and well tolerated in this series of patients and deserves further study for clarification of its indications, benefits, and safety.


Computer-enhanced robotic surgery Gynecologic oncology 


  1. 1.
    Binder J, Jones J, Bentas W, Wolfram M, Brautigam R, Probst M, Kramer W, Jonas D (2002) Robot-assisted laparoscopy in urology: radical prostatectomy and reconstructive retroperitoneal interventions. Urologe A 41: 144–149CrossRefPubMedGoogle Scholar
  2. 2.
    Boehm DH, Reichenspurner H, Detter C, Arnold M, Gulbins H, Meiser B, Reichart B (2000) Clinical use of a computer-enhanced surgical robotic system for endoscopic coronary artery bypass grafting on the beating heart. Thorac Cardiovasc Surg 48: 198–202CrossRefPubMedGoogle Scholar
  3. 3.
    Dargent DF (2001) Laparoscopic surgery in gynecologic oncology. Surg Clin North Am 81: 949–964CrossRefPubMedGoogle Scholar
  4. 4.
    Diaz-Arrastia C, Jurnalov C, Gomez G, Townsend C Jr (2002) Laparoscopic hysterectomy using a computer-enhanced surgical robot. Surg Endosc 16: 1271–1273CrossRefPubMedGoogle Scholar
  5. 5.
    Falcone T, Goldberg JM, Margossian H, Stevens L (2000) Robotic-assisted laparoscopic microsurgical tubal anastomosis: human pilot study. Fertil Steril 73: 1040–1042CrossRefPubMedGoogle Scholar
  6. 6.
    Melvin WS, Needleman BJ, Krause KR, Schneider C, Wolf RK, Michler RE, Ellison EC (2002) Computer-enhanced robotic telesurgery: initial experience in foregut surgery. Surg Endosc 16: 1790–1792CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Jayson B. Field
    • 1
    Email author
  • Michelle F. Benoit
    • 2
  • Tri A. Dinh
    • 2
  • Concepcion Diaz-Arrastia
    • 2
  1. 1.Department of Obstetrics and Gynecology, Division of Gynecologic OncologyWilliam Beaumont HospitalRoyal OakUSA
  2. 2.Department of Obstetrics and Gynecology, Division of Gynecologic OncologyUniversity of Texas Medical Branch at GalvestonGalvestonUSA

Personalised recommendations