Scientific Impact Paper No. 71: Robotic Surgery in Gynaecology

increasing operating time, minimises blood loss and intraor postoperative complications, and reduces conversion rate to laparotomy. Th e introduction of a robot as an additional tool in laparoscopic procedures has also overcome many of the limitations of conventional laparoscopy by providing superior dexterity, intuitive movement, 3D vision, improved ergonomics, autonomy of camera control and a shorter learning curve. A robot could be considered safe and a more eff ective surgical tool than conventional keyhole surgery for women who have to undergo complex gynaecology surgery or have associated medical issues. Th e introduction of robots has resulted in a decrease in the number of traditional open surgeries and the risk of conversion to open surgery; both of which should be considered when examining the cost–benefi t of using a robot. In womb cancer surgery there is good evidence that introducing robotics into the service improves outcomes for women and may reduce costs. Th is Scientifi c Impact Paper considers the technical advances that have expanded the use of RAL. It further assesses the use of RAL in diff erent fi elds of gynaecological surgery and the associated benefi ts and limitations. Written by: Laura Dean-Osgood, Assistant Editor, RCOG, UK. Download all RCOG guidance from: www.rcog.org.uk/guidelines SIP SUMMARY Scientifi c Impact Paper No. 71: Robotic Surgery in Gynaecology