Unveiling the real benefits of robot-assisted surgery in gynaecology: from telesurgery to image-guided surgery and artificial intelligence.

Fiche publication

Date publication

mars 2025

Journal

Facts, views & vision in ObGyn

Auteurs

Membres identifiés du Cancéropôle Est :
Pr MARESCAUX Jacques , Pr AKLADIOS Chérif

Tous les auteurs :
Pavone M, Goglia M, Rosati A, Innocenzi C, Bizzarri N, Seeliger B, Mascagni P, Ferrari FA, Forgione A, Testa AC, Fagotti A, Fanfani F, Querleu D, Scambia G, Akladios C, Marescaux J, Lecointre L

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/40297947

Résumé

Several new robotic platforms are being commercialised, with different features in terms of types of consoles, numbers of arms, and targeting transabdominal or natural orifice approaches. The benefits of robotic surgery over laparoscopy have yet to be conclusively demonstrated in gynaecology, as several studies comparing perioperative and postoperative patient outcomes have reported no significant differences, leading to a lack of precise recommendations in surgical guidelines for both gynaecologic oncology and benign gynaecology. In addition, these outcomes must be balanced against the high costs of robotic surgery, in particular when considering building an infrastructure for safe telesurgery to democratise access to telementoring and remote interventions.