Robotic versus laparoscopic surgery in gynecology: Which should we use?

Francesco Fanfani, Stefano Restaino, Alfredo Ercoli, Vito Chiantera, Anna Fagotti, Valerio Gallotta, Giorgia Monterossi, Serena Cappuccio, Giovanni Scambia

Research output: Contribution to journalReview articlepeer-review


This review of the literature aims at assessing the safety and effectiveness of robotic versus laparoscopic surgery in benign and malignant gynecological diseases. Robotic-assisted laparoscopy is already widely used in the United States and Europe for the main gynecological procedure - hysterectomy - and has proved feasible and comfortable for other benign and malignant gynecological procedures. However, the clinical effectiveness and safety of robotic surgery compared with standard laparoscopy have not been undoubtedly established. We reviewed the literature by searching in the Ovid/MEDLINE, PubMed, Cochrane Library, and Google Scholar databases for all the articles published from January 1995 to September 2015. More rigorous experimental studies are needed, that compare robotic-assisted surgery and laparoscopic surgery for gynecological diseases. However, current data seem to encourage the use of minimally-invasive surgery to treat benign and malignant gynecological diseases.

Original languageEnglish
Pages (from-to)423-430
Number of pages8
JournalMinerva Ginecologica
Issue number4
Publication statusPublished - Aug 1 2016


  • Hysterectomy
  • Laparoscopy
  • Minimally invasive surgical procedures
  • Robotic surgical procedures

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


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