Robotic Assistance for Deep Infiltrating Endometriosis Surgery. Review of The Literature

Backgrounds: This study aimed to assess the interest in robot-assisted laparoscopy for deep infiltrating endometriosis and to investigate the perioperative results.
Methods: It’s a review of the existing literature about the main surgical indications for robotic assisted surgery in endometriosis and gives an overview of the applications of robotic surgery in endometriosis. We talk about in first part “History of the robotic assisted laparoscopy”, in second part “Advantages and Drawbacks of robotic assisted laparoscopy”, and in the third part “Installation, feasibility and post-operative care, particularly in deep infiltrating endometriosis.”
Results: In this data from the literature, we have not demonstrated a clear advantage for either approach in terms of complications, blood loss, and hospital stay. There are no studies showing the differences in outcomes for endometriosis between robotic-assisted and conventional laparoscopic surgery.
Conclusion: The interest in robot-assisted laparoscopy for deep infiltrating endometriosis seems to be promising. Probably, DIE is one of the best indications for robot assisted laparoscopy in gynecologic surgery. The benefits for patients still need to be confirmed. Robotic might be the evolution of standard laparoscopy and it’s a real challenge to prove his efficiency.