title: The Essential Elements of a Robotic-Assisted Laparoscopic Hysterectomy.
abstract: Robotic-assisted laparoscopic hysterectomies are being performed at higher rates since the da Vinci Surgical System (Intuitive Surgical, Inc, Sunnyvale, CA, USA) received US Food and Drug Administration approval in 2005 for gynecologic procedures. Despite the technological advancements over traditional laparoscopy, a discrepancy exists between what the literature states and what the benefits are as seen through the eyes of the end-user. There remains a significant learning curve in the adoption of safe and efficient robotic skills. The authors present important considerations when choosing to perform a robotic hysterectomy and a step-by-step technique. The literature on perioperative outcomes is also reviewed.
authors: Gynecologic Specialty Surgery, Department of Obstetrics and Gynecology, Columbia University Medical Center, 622 West 168th Street, PH 16, Room 127, New York, NY 10032, USA.
authors: Khara M
authors: KM
authors: Simpson
authors: Department of Obstetrics and Gynecology, Sloane Hospital for Women, Simulation Center, Columbia University Medical Center, New York-Presbyterian Hospital, 622 West 168th Street, PH 16, Room 127, New York, NY 10032, USA. Electronic address: aa3530@cumc.columbia.edu.
authors: Arnold P
authors: AP
authors: Advincula
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation / Q000379:methods / Q000639:trends; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods / Q000639:trends; D019060:Minimally Invasive Surgical Procedures; D017410:Practice Guidelines as Topic; D065287:Robotic Surgical Procedures; D016896:Treatment Outcome; D014481:United States
keywords: Hysterectomy; Laparoscopy; Minimally invasive surgery; Robotics