Clinical References for Gynecologic Conditions

da Vinci Hysterectomy for Early Stage Gynecological Cancer

Robotic surgery in gynecologic oncology: evolution of a new surgical paradigm
Boggess JF. J Robotic Surg. 2007 March; 1(1): 69-74. Abstract. Full text.

Type III radical hysterectomy for obese women with cervical carcinoma: Robotic versus open.
Aaron Shafer, John F. Boggess, Paola Gehrig, Victoria Bae-Jump, Lisa Abaid, Daniel Clarke-Pearson, Wesley C. Fowler Jr., Teresa L. Rutledge, John Soper, Linda Van Le. Abstract presented at SGO 2007. University of North Carolina, Chapel Hill, NC.

Incorporation of Robotics into a Gynecologic Oncology Practice: The First 100 Cases.
Lynn D. Kowalski, MD, Camille A. Falkner, MD, Stephanie A. Wishnev, MD Nevada Surgery and Cancer Care 1 Sunrise Hospital and Medical Center, Las Vegas, NV. Poster presented at SGO 2007.

da Vinci Hysterectomy for Benign Conditions

A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice.
Payne TN, Dauterive FR.
J Minim Invasive Gynecol. 2008 May-Jun;15(3):286-91. Epub 2008 Mar 6.
In this study looking back on 100 patients treated before and 100 patients treated after the introduction of da Vinci Surgery into their practice, the surgeon authors found it was more likely that hysterectomy patients treated before da Vinci would need a large abdominal incision or would need conversion to open surgery. In other words, before da Vinci, the surgeons more often would have to "open up" patients during a minimally invasive surgery -- for example, when it was discovered that the patient's uterus size or adhesions from prior surgeries made a minimally invasive approach impossible to complete. Also in this study, using da Vinci Surgery also reduced the length of the surgery, reduced blood loss by half and significantly shortened length of stay in the hospital (from 1.6 to 1 day). This study concludes that da Vinci Surgery may help surgeons complete more minimally invasive hysterectomies and may help reduce the frequency of hysterectomy performed using large abdominal incisions. Abstract

Robotic Assistance Improves Minimally Invasive Surgery For Endometrial Cancer.
John F. Boggess, Paola A. Gehrig, Victoria Bae-Jump, Lisa Abaid, Aaron Shafer, Daniel Clarke-Pearson, Teresa L. Rutledge, John T. Soper, Linda Van Le, Wesley C. Fowler, Jr. Poster presented at SGO 2007. Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill.

The use of robot-assisted laparoscopic hysterectomy in the patient with a scarred or obliterated anterior cul-de-sac.
Advincula AP, Reynolds RK. JSLS. 2005 Jul-Sep;9(3):287-91. Abstract.

Total laparoscopic hysterectomy utilizing a robotic surgical system. JSLS.
Beste TM, Nelson KH, Daucher JA. 2005 Jan-Mar; 9(1): 13-15. Abstract.

Telerobotic-assisted laparoscopic hysterectomy for benign and oncologic pathologies: initial clinical experience with 30 patients.
Marchal F, Rauch P, Vandromme J, Laurent I, Lobontiu A, Ahcel B, Verhaeghe JL, Meistelman C, Degueldre M, Villemot JP, Guillemin F. Surg Endosc. 2005 May 3 [Epub ahead of print] Abstract.

Robotic-assisted laparoscopic sacrocolpopexy for treatment of vaginal vault prolapse.
Di Marco DS, Chow GK, Gettman MT, Elliott DS. Urology. 2004 Feb; 63(2): 373-376. Abstract

General da Vinci Gynecologic References

Surgical techniques: robot-assisted laparoscopic hysterectomy with the da Vinci surgical system.
Advincula AP. Int J Med Robot. 2006 Dec;2(4):305-11. Abstract.

Robotics in reproductive medicine.
Dharia SP, Falcone T. Fertil Steril. 2005 Jul;84(1):1-11. Review. Abstract.

Laparoscopic robotic gynecologic surgery.
Advincula AP, Falcone T. Obstet Gynecol Clin North Am. 2004 Sep; 31(3): 599-609. Abstract

Making the transition from standard gynecologic laparoscopy to robotic laparoscopy.
Ferguson JL, Beste TM, Nelson KH, Daucher JA. JSLS. 2004 Oct-Dec; 8(4): 326-328. Abstract

Laparoscopic hysterectomy using a computer-enhanced surgical robot.
Diaz-Arrastia C, Jurnalov C, Gomez G, Townsend C Jr. Surg Endosc. 2002 Sep; 16(9): 1271-1273. Abstract

Robotically assisted gynaecological surgery.
Falcone T, Steiner CP. Hum Fertil (Camb). 2002 May; 5(2): 72-74. Abstract

da Vinci Myomectomy

Surgical techniques: robot-assisted laparoscopic Myomectomy with the da Vinci® surgical system.
Senapati S, Advincula A. J Robotic Surg. 2007 March; 1(1): 69-74. Abstract. Full text.

Preliminary experience with robot-assisted laparoscopic myomectomy.
Advincula AP, Song A, Burke W, Reynolds RK. J Am Assoc Gynecol Laparosc. 2004 Nov;11(4):511-8. Abstract.

Uncomplicated full term pregnancy after da Vinci-assisted laparoscopic myomectomy.
Bocca S, Stadtmauer L, Oehninger S. Reprod Biomed Online. 2007 Feb;14(2):246-9. Abstract.

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.