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Kiss et al. Mini-invasive Surg 2021;5:55 https://dx.doi.org/10.20517/2574-1225.2021.70 Page 7 of 9

CONCLUSION
The use of robotic systems enabled the implication of the advantages of mini-invasive surgery even in more
complex cases. As the conclusions of studies are still not consistent, robotic myomectomy tends to show
superiority in many factors over laparoscopy and open surgery. Operating time and higher cost seem to be
the major drawback, but with the application of the presented surgical techniques and steep learning curve
these could be rapidly minimized. Robotic single-site surgery seems to be a further step to reduce morbidity
and pain and enhance cosmetic outcomes of minimal invasive techniques. This latest surgical access seems
to be a feasible and safe procedure for myomectomy, which could replace conventional laparoscopy and
robotic multiport surgeries even in complicated cases.

DECLARATIONS
Authors’ contributions
Made substantial contributions to concept and design of the article: Kiss I, Svobodova P, Karasek L,
Svoboda B
Drafted the article: Kiss I, Svobodova P
Critical revision of the article: Svobodova P, Karasek L, Svoboda B

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2021.

REFERENCES
1. Stewart EA, Cookson CL, Gandolfo RA, Schulze-Rath R. Epidemiology of uterine fibroids: a systematic review. BJOG
2017;124:1501-12. DOI PubMed
2. Bulun SE. Uterine fibroids. N Engl J Med 2013;369:1344-55. DOI PubMed
3. Parker WH. Etiology, symptomatology, and diagnosis of uterine myomas. Fertil Steril 2007;87:725-36. DOI PubMed
4. Vlahos NF, Theodoridis TD, Partsinevelos GA. Myomas and adenomyosis: impact on reproductive outcome. Biomed Res Int
2017;2017:5926470. DOI PubMed PMC
5. Munro MG, Critchley HOD, Fraser IS; FIGO Menstrual Disorders Committee. The two FIGO systems for normal and abnormal
uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int J
Gynaecol Obstet 2018;143:393-408. DOI PubMed
6. Donnez J, Dolmans MM. Uterine fibroid management: from the present to the future. Hum Reprod Update 2016;22:665-86. DOI
PubMed PMC
7. Donnez J, Arriagada P, Donnez O, Dolmans MM. Emerging treatment options for uterine fibroids. Expert Opin Emerg Drugs
2018;23:17-23. DOI PubMed
8. Wang T, Tang H, Xie Z, Deng S. Robotic-assisted vs. laparoscopic and abdominal myomectomy for treatment of uterine fibroids: a
meta-analysis. Minim Invasive Ther Allied Technol 2018;27:249-64. DOI PubMed
9. Ranes M, Carlan SJ, Vaught J, Greves CE. Robot-assisted laparoscopic myomectomy versus abdominal myomectomy a retrospective