Case Series of 72 Robot-Assisted Benign Gynecological Surgeries on a Novel Modular Robotic Platform.

Abstract

Background: Robotic assisted surgery has attained widespread acceptance in the past two decades as the robotic platform provides 3D vision, tremor filtration and increased dexterity with upto 7 degrees of freedom. This original article is dedicated to providing an impartial assessment of robotic technology, elucidating our insights gained from 72 gynaecological surgeries conducted with a novel modular robotic system in a tertiary care hospital.

Methods: A meticulous examination of 72 robotic benign gynaecological surgeries was undertaken, wherein average operative time, estimated blood loss, postoperative hospital stay, intraoperative and postoperative complications, and conversion rates were subjected to retrospective scrutiny.

Results: A wide spectrum of benign gynecological pathologies could be dealt with using the robotic platform with acceptable operative time, blood loss and post operative complications. The average operative time for our first 25 cases was compared with the subsequent 47 cases, this difference was not found to be statistically significant (p value = 0.28) suggesting that there does not appear to be a significant learning curve for a trained laparoscopic gynecologist in transitioning to robotic gynecological surgeries.

Conclusions: Robotic benign gynecological surgery is feasible and safe. The novel modular robotic platform gives the advantages of an open surgeon's console, enhanced degrees of freedom of movement of instruments and stability. Robotic benign gynecological surgery appears to offer reasonable post operative recovery with acceptable intra and post operative complication profile.