title: Robotic versus laparoscopic surgery in gynecology: which should we use?
abstract: This review of the literature aims at assessing the safety and effectiveness of robotic versus laparoscopic surgery in benign and malignant gynecological diseases. Robotic-assisted laparoscopy is already widely used in the United States and Europe for the main gynecological procedure - hysterectomy - and has proved feasible and comfortable for other benign and malignant gynecological procedures. However, the clinical effectiveness and safety of robotic surgery compared with standard laparoscopy have not been undoubtedly established. We reviewed the literature by searching in the Ovid/MEDLINE, PubMed, Cochrane Library, and Google Scholar databases for all the articles published from January 1995 to September 2015. More rigorous experimental studies are needed, that compare robotic-assisted surgery and laparoscopic surgery for gynecological diseases. However, current data seem to encourage the use of minimally-invasive surgery to treat benign and malignant gynecological diseases.
authors.affiliation: Gynecologic Oncology Unit, Department of Medicine and Aging Sciences, "G. D'Annunzio" University, Chieti, Italy - francesco.fanfani@unich.it.
authors.forename: Francesco
authors.initials: F
authors.lastname: Fanfani
authors.forename: Stefano
authors.initials: S
authors.lastname: Restaino
authors.forename: Alfredo
authors.initials: A
authors.lastname: Ercoli
authors.forename: Vito
authors.initials: V
authors.lastname: Chiantera
authors.forename: Anna
authors.initials: A
authors.lastname: Fagotti
authors.forename: Valerio
authors.initials: V
authors.lastname: Gallotta
authors.forename: Giorgia
authors.initials: G
authors.lastname: Monterossi
authors.forename: Serena
authors.initials: S
authors.lastname: Cappuccio
authors.forename: Giovanni
authors.initials: G
authors.lastname: Scambia
mesh_terms: D005260:Female; D005831:Genital Diseases, Female / Q000473:pathology / Q000601:surgery; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods*