13. Laparoscopic and robotic assisted laparoscopic cytoreductive surgery in gynecologic oncology
نویسندگان
چکیده
Advanced laparoscopic procedures are increasingly being used as an alternative to laparotomy in gynecologic oncological surgery. The benefits of advanced laparoscopic procedures compared with laparotomy are clear, including decreased pain, decreased surgical site infection rate, decreased length of stay, quicker return to activity and cosmesis. Recently, the da Vinci robotic system (Intuitive Surgical Corporation, Sunnyvale, CA) has been introduced into minimally invasive gynecologic surgery. The robotic surgical system is an innovative technology that addresses the many of the current limitations of conventional laparoscopy. However, laparoscopic gynecologic oncological surgery is associated with unique challenges and complications compared with the open gynecologic oncological surgery. Principally, this new technique has to address two questions: is the laparoscopic approach a safe procedure and are the oncological results equal to standard surgery? We discuss in this chapter the laparoscopic cytoreductive surgery in gynecologic oncology (uterine and ovarian tumors) and the recent experience and feasibility of integrating robot-assisted technology into minimally invasive gynecologic oncological surgery. Correspondence/Reprint request: Dr. Frédéric Marchal, Department of surgical oncology, CRAN, NancyUniversité, CNRS, Centre Alexis Vautrin, Avenue de Bourgogne, 54511, Vandoeuvre-les-Nancy, France E-mail: [email protected] Frédéric Marchal et al. 214
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