Robotic surgery in gynaecology

Key content Robotic surgery has gained popularity in the last decade and the da Vinci® Surgical System has been increasingly used for complex gynaecological surgery. The advantages of robotic surgery over conventional laparoscopic surgery are: greater degree of movement, precise dissection, 3D vision, tremor filtration and a shorter learning curve. The disadvantages are mainly the high cost and lack of haptic feedback. The current role of robotics in gynaecological surgery. Learning objectives To provide an overview of the advantages and drawbacks of robotic surgery over conventional open and laparoscopic surgery. To review the latest evidence and evaluate the role of robotics in general gynaecology and the subspecialties, including oncology and urogynaecology. To discuss training issues for individuals and for theatre teams. Ethical issues Is it ethical to deny patients who would benefit from robotic surgery this option because of the cost?