SWAPS and Da Vinci®: Entering the Age of Robotics (#C2)
Robotic-assisted surgery (RAS) has been gaining popularity in gynaecology. Studies, however, have not shown significant differences in operative outcomes compared with laparoscopic techniques, apart from longer operative times(1-3). Regardless, the number of RAS procedures performed has been steadily increasing across the United States and Europe as both patients and clinicians have adopted it. In 2013, the Sydney West Advanced Pelvic Surgery (SWAPS) unit started learning RAS as a potential alternative technique of minimally invasive surgery. The initial uptake of RAS among patients and clinicians in the unit has been slow. Among the 20 cases performed, there were no immediate surgical complications or conversions. A brief retrospective comparison is made between the RAS hysterectomy versus total laparoscopic hysterectomies over a 14-month period. Discussions will be highlighting some of the challenges of adopting RAS in Australia, illustrating that prior experience in advanced laparoscopy has proven beneficial in the learning curve, and addressing the SWAPS experience from the point of view of current controversies about RAS.
- Paraiso MF, Ridgeway B, Park AJ, Jelovsek JE, Barber MD, et al. A randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy. Am J Obstet Gynecol. 2013:208;368
- Ng AT, Tam PC. Current status of robot-assisted surgery. Hong Kong Med J. 2014:20;241-50
- Gocmen A, Sanlikan F, Ucar MG. Robot-assisted hysterectomy vs total laparoscopic hysterectomy: a comparison of short-term surgical outcomes. Int J Med Robot. 2012:8;453-7