title: New Developments in Robotics and Single-site Gynecologic Surgery.
abstract: Within the last 10 years there have been significant advances in minimal-access surgery. Although no emerging technology has demonstrated improved outcomes or fewer complications than standard laparoscopy, the introduction of the robotic surgical platform has significantly lowered abdominal hysterectomy rates. While operative time and cost were higher in robotic-assisted procedures when the technology was first introduced, newer studies demonstrate equivalent or improved robotic surgical efficiency with increased experience. Single-port hysterectomy has not improved postoperative pain or subjective cosmetic results. Emerging platforms with flexible, articulating instruments may increase the uptake of single-port procedures including natural orifice transluminal endoscopic cases.
authors.affiliation: Departments of Urology and Ob/Gyn, Wake Forest Baptist Medical Center, Winston Salem, North Carolina.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Matthews
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D065287:Robotic Surgical Procedures / Q000639:trends*; D012371:Robotics / Q000639:trends*