title: Robotic-assisted laparoscopic surgery in uterine pathology.
abstract: OBJECTIVE
  The feasibility and safety of robotic surgery have been demonstrated by numerous comparative studies. The aim of our study was to compare several parameters related to robotic surgical procedures in uterine pathology, and to analyse clinico-biological parameters that may influence the post-operative evolution of the patients.
  
  
  METHODS
  Retrospective analysis of 100 patients with uterine pathology who had undergone robotic-assisted laparoscopic surgery at the Santa Chiara Hospital, Pisa, Italy, between 2008 and 2010.
  
  
  RESULTS
  Duration of surgery, docking, hysterectomy, uterine suture, blood loss, and days of hospitalisation significantly improved in parallel with the increasing experience of the surgical team. Paradoxically, the length of myomectomy increased in the same time interval, probably due to operating on more complex clinical cases with this procedure as the surgical team's experience grew. None of the robotic surgeries was converted to laparotomy. No intra- or post-operative complications were noted.
  
  
  CONCLUSIONS
  Since robotic-assisted laparoscopic surgery is becoming the preferred surgical technique for uterine pathology treatment, more clinical studies and development of protocols are essential to increase the quality of surgical treatment.
authors.affiliation: Ospedale Santa Chiara, Pisa, Italy. ssidoniam@yahoo.com
authors.forename: Sidonia-Maria
authors.initials: SM
authors.lastname: Saceanu
authors.forename: Vito
authors.initials: V
authors.lastname: Cela
authors.forename: Nicola
authors.initials: N
authors.lastname: Pluchino
authors.forename: Cristina
authors.initials: C
authors.lastname: Angelescu
authors.forename: Valeriu
authors.initials: V
authors.lastname: Surlin
authors.forename: Andrea
authors.initials: A
authors.lastname: Genazzani
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000706:statistics & numerical data*; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data; D008875:Middle Aged; D012189:Retrospective Studies; D012371:Robotics / Q000706:statistics & numerical data*; D014591:Uterine Diseases / Q000601:surgery*
keywords: Da Vinci; Hysterectomy; Myomectomy; Robotic surgery