Keywords
How to Cite
Abstract
This article reviews minimally invasive approaches for myomectomy, focusing on the comparison between laparoscopic and robotic techniques. Articles were selected from PubMed, Scopus, and Embase databases using the descriptors robotic myomectomy, laparoscopic myomectomy, minimally invasive techniques. The review included recent studies evaluating the efficacy, safety, reproductive outcomes, and economic impact of these techniques. The findings indicate that robotic myomectomy offers greater surgical precision and lower risk of intraoperative complications, making it particularly suitable for complex cases. Conversely, laparoscopy remains widely used due to its proven effectiveness, lower cost, and broader availability. The conclusion emphasizes the importance of tailoring the choice of technique based on factors such as fibroid characteristics, surgeon expertise, and patient preferences to optimize clinical and reproductive outcomes.
References
ARIAN, S. E.; MUNOZ, J. L.; KIM, S.; FALCONE, T. Robot-assisted laparoscopic myomectomy: current status. Robot Surgery, v. 4, p. 7-18, 2017. DOI: 10.2147/RSRR.S102743.
CAPOZZI, V. A.; SCARPELLI, E.; ARMANO, G.; et al. Update of robotic surgery in benign gynecological pathology: systematic review. Medicina (Kaunas), v. 58, n. 4, p. 552, 2022. DOI: 10.3390/medicina58040552.
CHITTAWAR, P. B.; KAMATH, M. S. Review of nonsurgical/minimally invasive treatments and open myomectomy for uterine fibroids. Current Opinion in Obstetrics & Gynecology, v. 27, n. 6, p. 391-397, 2015. DOI: 10.1097/GCO.0000000000000223.
FLYCKT, R.; COYNE, K.; FALCONE, T. Minimally invasive myomectomy. Clinical Obstetrics and Gynecology, v. 60, n. 2, p. 252-272, 2017. DOI: 10.1097/GRF.0000000000000275.
GINGOLD, J. A.; GUEYE, N. A.; FALCONE, T. Minimally invasive approaches to myoma management. Journal of Minimally Invasive Gynecology, v. 25, n. 2, p. 237-250, 2018. DOI: 10.1016/j.jmig.2017.07.007.
IAVAZZO, C.; MAMAIS, I.; GKEGKES, I. D. Robotic-assisted vs laparoscopic and/or open myomectomy: systematic review and meta-analysis of the clinical evidence. Archives of Gynecology and Obstetrics, v. 294, n. 1, p. 5-17, 2016. DOI: 10.1007/s00404-016-4061-6.
LONNERFORS, C. Robot-assisted myomectomy. Best Practice & Research Clinical Obstetrics & Gynaecology, v. 46, p. 113-119, 2018. DOI: 10.1016/j.bpobgyn.2017.09.005.
MARÍN-BUCK, A.; KARAMAN, E.; AMER-CUENCA, J. J.; et al. Minimally invasive myomectomy: an overview on the surgical approaches and a comparison with mini-laparotomy. Journal of Investigative Surgery, v. 34, n. 4, p. 443-450, 2021. DOI: 10.1080/08941939.2019.1642422.
PAREDES, J. S.; LEE, C. L.; CHUA, P. T. Myomectomy: choosing the surgical approach - a systematic review. Gynecologic Minimally Invasive Therapy, v. 13, n. 3, p. 146-153, 2024. DOI: 10.4103/gmit.gmit_152_23.
TSALOS, E.; XYDIAS, E. M.; ZIOGAS, A. C.; et al. Multi-port robotic-assisted laparoscopic myomectomy: a systematic review and meta-analysis of comparative clinical and fertility outcomes. Journal of Clinical Medicine, v. 12, n. 12, p. 4134, 2023. DOI: 10.3390/jcm12124134.
TRUONG, M.; KIM, J. H.; SCHEIB, S.; PATZKOWSKY, K. Advantages of robotics in benign gynecologic surgery. Current Opinion in Obstetrics & Gynecology, v. 28, n. 4, p. 304-310, 2016. DOI: 10.1097/GCO.0000000000000293.
WU, C. Z.; KLEBANOFF, J. S.; TIAN, P.; MOAWAD, G. N. Review of strategies and factors to maximize cost-effectiveness of robotic hysterectomies and myomectomies in benign gynecological disease. Journal of Robotic Surgery, v. 13, n. 5, p. 635-642, 2019. DOI: 10.1007/s11701-019-00948-9.
GITAS, G.; HANKER, L.; RODY, A.; et al. Robotic surgery in gynecology: is the future already here? Minimally Invasive Therapy & Allied Technologies, v. 31, n. 6, p. 815-824, 2022. DOI: 10.1080/13645706.2021.2010763.
GIOVANNOPOULOU, E.; PRODROMIDOU, A.; BLONTZOS, N.; IAVAZZO, C. The emerging role of robotic single-site approach for myomectomy: a systematic review of the literature. Surgical Innovation, v. 28, n. 3, p. 352-359, 2021. DOI: 10.1177/1553350620988227.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Priscila Costa Torres Nogueira, Ana Lívia Pereira de Sousa e Silva, Jayanne Alencar Firmo, Cynthia Agra de Albuquerque Pimentel, Petrúcia Cirilo de Carvalho, Larissa de Sousa Rosado Cavalcanti, Milene Trigueiro Pereira da Nóbrega, Katryene Rochelly de Oliveira Cunha, Jardyellen Matias Bezerra, Jéssica Viana Oliveira Rodrigues, Cynthia Estrela Gadelha de Queiroga
