Advances in Minimally Invasive Gynaecological Surgery Abstract

Carmen Ka-Man CHOI
Department of Obstetrics and Gynaecology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong
Laparoendoscopic single-site surgery, robotic-assisted laparoscopic surgery, and natural orifice transluminal endoscopic surgery are major innovations in minimally invasive surgery. These techniques have the potential to improve patient outcomes such as quicker recovery, less postoperative pain, and better cosmetic results. Moreover, complicated laparoscopic procedures can be facilitated with the robotic surgical system. Current available data suggest that these techniques are feasible, safe, and effective, with similar perioperative outcomes to conventional laparoscopic techniques. Nonetheless, robotic-assisted surgery is more costly and may preclude its use in financially constrained areas. There is no good-quality evidence to support the use of these new techniques over conventional laparoscopy, and the purported benefits of better patient outcome are yet to be confirmed. Further prospective trials and randomised controlled trials with long-term data are required to determine their effectiveness and safety.
Hong Kong J Gynaecol Obstet Midwifery 2018; 18(1):43–51
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