Committee opinion no. 628: robotic surgery in gynecology

Obstetrics and Gynecology

Abstract

The field of robotic surgery has developed rapidly, and its use for gynecologic conditions has grown exponentially. Surgeons should be skilled at abdominal and laparoscopic approaches for a specific procedure before undertaking robotic approaches. Surgeon training, competency guidelines, and quality metrics should be developed at the institutional level. Robot-assisted cases should be appropriately selected based on the available data and expert opinion. As with any surgical procedure, repetition drives competency. Ongoing quality assurance is essential to ensure appropriate use of the technology and, most importantly, patient safety. Adoption of new surgical techniques should be driven by what is best for the patient, as determined by evidence-based medicine rather than external pressures. Well-designed randomized controlled trials or comparably rigorous nonrandomized prospective trials are needed to determine which patients are likely to benefit from robot-assisted surgery and to establish the potential risks.

Associated Clinical Trials

References

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Citations

May 21, 2016·Frontiers in Surgery·Jean Bouquet de JoliniereAnis Feki
Aug 23, 2016·Obstetrics and Gynecology·UNKNOWN Committee on Patient Safety and Quality Improvement
Jan 19, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Timothy A DeimlingGerald J Harkins
Aug 25, 2018·Arab Journal of Urology·Hartwig SchwaiboldChristian Bach
Oct 31, 2019·Female Pelvic Medicine & Reconstructive Surgery·UNKNOWN American College of Obstetricians and Gynecologists and the American Urogynecologic Society, UNKNOWN INTERIM UPDATE: This Practice Bulletin is updated as highlighted to reflect the US Food and Drug Administration order to sto
Feb 26, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Josh Feldstein, Herbert Coussons
Jun 13, 2017·Gynecological Surgery·W J van WeeldenF P H L J Dijkhuizen
May 27, 2020·Journal of Robotic Surgery·Anupama RajanbabuAkhila Appukuttan
Aug 2, 2020·Journal of Robotic Surgery·Vanessa El-AchiSam Saidi
Oct 27, 2020·International Urogynecology Journal·Perrine CapmasMaryse Larouche
Dec 2, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Laura Jane McLeodSari Kives
Jun 27, 2017·Female Pelvic Medicine & Reconstructive Surgery
May 8, 2021·Journal of Minimally Invasive Gynecology·Gregory M GresselErika Banks
Jul 18, 2021·Journal of Robotic Surgery·Amanda M ArtsenMichael Bonidie

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