Complications of Gynecologic Robotic Surgery

Robotic technology represents a significant advancement in the field of minimal invasive surgery. Robotic procedures are increasingly used to perform various gynecological operations. While the robot addresses the limitations of the laparoscope and provides three-dimensional vision and precise movements, it has its some limitations including increased cost, bulky instrument with limited vaginal access, and lack of tactile feedback. Although the literature has shown that robotic surgery leads to early recovery and less blood loss, it is associated with increased operative time, which is associated with potential increase of anesthetic and perioperative complications. This article reviews the recent peer-reviewed literature concerning the complications of robotic technology in hysterectomy, myomectomy, tubal anastomosis, and sacrocolpopexy. Most of the literature consists of retrospective studies and authors' early experiences with this technique. Well designed prospective studies are necessary to determine the long-term outcomes including complications.