Background: Robotic-assisted laparoscopy can be safely utilized to surgically treat
multiple gynecological conditions. Few studies have evaluated its role in performing adnexal surgeries.
Objective: To identify which adnexal surgeries are more commonly being performed robotically
and review safety and efficacy outcomes.
Method: A literature search was performed using electronic databases using keywords robotic,
adnexal surgery, ovarian, tubal, endometriosis, infertility, and pediatrics.
Results: A limited number of studies were identified that evaluated the role of robotic technology in
adnexal surgeries such as oophorectomy or cystectomy for benign adnexal masses, removal of ovarian
remnant, tubal reanastomosis, adnexal surgeries performed during pregnancy, and in the pediatric
population for ovarian pathology. The results of these studies are based largely on a small number
of retrospective data. These studies suggest similar perioperative complication rates for robotic
surgery and conventional laparoscopy for the treatment of these conditions.
Conclusion: Robotic assisted laparoscopy has been demonstrated to treat adnexal pathology with
favorable outcomes. However, the benefit of this technology compared to conventional laparoscopy
for these procedures is undetermined and larger prospective studies are necessary to better understand
its advantages and disadvantages.