Robotic-assisted surgery entry in gynecological oncology

Laparoscopic surgery has profoundly revolutionized the concept of minimally invasive surgery in the last three decades [1]. Studies have clearly shown that laparoscopy has several advantages compared with laparotomy, including faster postoperative recuperation, shorter hospitalization course, cosmetic benefits, improved intraoperative visualization, decreased blood loss, and fewer complications [2, 3]. Despite these factors, several drawbacks exist with conventional laparoscopy. These include two-dimensional views, counterintuitive hand movements, a gradual learning curve, operator fatigue, and tremor amplification [4, 5]. Computer-enhanced telesurgery, called robotic-assisted surgery, is the latest innovation in the minimally invasive surgery field. It attempts to overcome the disadvantages of conventional laparoscopy by offering improved dexterity, coordination, and visualization, and decreasing surgeon fatigue [6].