Abstract
With the advent of robotic surgery, and the system’s extremely useful approach to narrow cavities such as the pelvis, outcomes in the gynecologic approach have improved. Reports in robotic gynecology are encouraging and the da Vinci System has become applicable even in pediatric gynecological surgery. Robotic applications in pediatrics have been reported in adnexal surgery and benign ovarian tumor resection. Proper patient positioning on the operating table is essential to allow optimal surgical field of view. In children, in nonemergency conditions, robotic surgery may be considered not only an “enabling technology” but also a “facilitating technology.” As a facilitating technology the robotic approach in pediatric and adolescent surgery ameliorates the operative learning curve allowing greater diffusion of the laparoscopic procedure, which has already been proven beneficial for patients. Robotic surgery has the edge over conventional open surgery when considering the smaller incisions, reduced blood loss and pain, shorter hospital stays, and quicker convalescence. In addition, the gynecologic robotic approach contributes to fertility preservation in case of benign pediatric ovarian tumors. Robotic gynecologic surgery is becoming a clinical reality and is gaining increased acceptance even in the pediatric field.
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Pelizzo, G. (2017). Gynecological Procedures. In: Mattioli, G., Petralia, P. (eds) Pediatric Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-41863-6_11
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DOI: https://doi.org/10.1007/978-3-319-41863-6_11
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