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Kiss et al. Mini-invasive Surg 2021;5:55 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2021.70

Review Open Access

Current status on robotic assisted myomectomy

Imrich Kiss, Pavla Svobodova, Lubos Karasek, Bohuslav Svoboda

Department of Gynecology, 3rd Faculty of Medicine Charles University and Military University Hospital, Prague 16902, Czech
Republic.
Correspondence to: Dr. Imrich Kiss, Department of Gynecology 3rd Faculty of Medicine, Charles University, Military University
Hospital, U Vojenske nemocnice 1200, 169 02 Praha 6, Prague 16902, Czech Republic. E-mail: kiss.imrich@gmail.com
How to cite this article: Kiss I, Svobodova P, Karasek L, Svoboda B. Current status on robotic assisted myomectomy. Mini-
invasive Surg 2021;5:55. https://dx.doi.org/10.20517/2574-1225.2021.70
Received: 25 May 2021 First Decision: 8 Oct 2021 Revised: 7 Nov 2021 Accepted: 22 Nov 2021 Published: 8 Dec 2021

Academic Editors: Giulio Belli, Simone Ferrero Copy Editor: Xi-Jun Chen Production Editor: Xi-Jun Chen

Abstract
Uterine leiomyomas are common benign solid tumors of the uterus. While the presence of fibroids is rarely life
threatening, they are associated with symptoms affecting quality of life and fertility. Myomectomy is a standard
fertility-sparing surgery which should be considered for women suffering from fibroid-related symptoms who do
not desire hysterectomy or any alternative treatment option. While open surgery is thought to be reserved for large
and numerous myomas, mini-invasive methods as laparoscopy and robot-assisted surgery have evolved in the
hands of experienced surgeons to also deal with these more complex cases. Robotic myomectomy has its
advantages in lower blood loss, fewer complications, and shorter hospital stay over open surgery, whereas the
comparison outcomes with laparoscopic myomectomy are still uncertain. Advantages of the wristed instruments,
three-dimensional vision along with the incorporation of correct surgical techniques could emphasize the benefits
of the robotic assisted approach in large and numerous myoma cases. Careful and detailed assessment should
precede the surgery to recognize risks and steps to reduce operation time, which tends to be the most presented
drawback of robotic myomectomy. As the tendency of robot-assisted surgeries is growing, many authors share
their experience or publish comparison studies with other surgical methods. Our article describes the current
status concerning robotic myomectomy, reviewing publications from the past five years (2016-2021).

Keywords: Robotic surgery, robotic myomectomy, robot-assisted myomectomy, surgical techniques

INTRODUCTION
Uterine leiomyomas (uterine fibroids) are a common benign smooth muscle tumors of the uterus that

© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0
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