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Abstract

Usage of minimally invasive techniques such as laparoscopy has rapidly increased in the gynecologic surgery. On the other hand, laparoscopic approach is still not suitable in all cases. Robotic surgery has several advantages over traditional laparoscopy, making itself an attractive choice in reproductive surgery. Recent studies show that robotic surgery may be more effective in carefully selected cases due to less postoperative pain, fewer days in hospital, faster return to daily activities and less blood loss during surgery. However, longer surgery period, the need for special training of the surgeon and the surgical team and high costs are the most important disadvantages of robotic surgery. Prospective studies that compare robotic surgery with laparoscopy and open surgery are already under way. Long-term outcomes of these studies will provide clinicians guidelines for indications for robotic surgery. The aim of this review is to discuss and present contemporary studies on robotic surgery specifically in the field of reproductive medicine.

Keywords

• robotic surgery, laparoscopy, laparotomy, myomectomy, endometriosis, tubal reanastomosis.

REPRODÜKTİF TIPTA ROBOTİK CERRAHİYE GENEL BAKIŞ

Abstract

Jinekolojik cerrahide minimal invazif cerrahi, özellikle de laparoskopi kullanımı gün geçtikçe artmaktadır. Ancak, bazı olgularda geleneksel laparoskopi yaklaşımı güç olabilir. Robotik cerrahi sisteminin geleneksel laparoskopiye göre birçok avantajı mevcuttur ve reprodüktif jinekolojik ameliyatlarda kendine birçok kullanım alanı bulmaktadır. Son yıllardaki araştırmalar, ameliyat sonrası ağrının daha az olması, hastanede daha az gün kalınması, günlük hayata daha çok çabuk geri dönüş ve ameliyat sırasında daha az kan kaybı sebebiyle robotik cerrahinin bazı olgularda tercih nedeni olmasının sebeplerini ortaya koymaktadır. Öte yandan, daha uzun ameliyat süresi, robotik sistemi kullanacak cerrahların ve ameliyat ekibinin özel eğitim gereksinimi ve yüksek maliyet bu sistemin halihazırdaki en önemli dezavantajlardır. Robotik cerrahi yaklaşımı, laparoskopi ve klasik açık ameliyatla karşılaştıran kapsamlı prospektif çalışmalar başlamıştır. Bu çalışmaların uzun süreli takip sonuçları, robotik cerrahinin hangi ameliyatlarda daha verimli ve avantajlı olduğunu net ortaya koymaya yardımcı olacaktır. Bu derlemede amaç, özellikle reprodüktif tıp dalında yayınlanmış robotik cerrahi hakkındaki güncel araştırmaları irdelemektir.

Keywords

• robotik cerrahi, laparoskopi, laparotomi, miyomektomi, endometriyozis, tubal reanastomoz

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