Most doctors and patients will note that closed surgery is preferable to open surgery if possible. With closed surgical methods (laparoscopic or robotic), there is usually less postoperative hospital stay, shorter hospital stay and faster recovery after surgery.
Sometimes patients have to choose between two closed surgical methods, choosing whether to choose the laparoscopic or robotic technique. In making this decision, the desire of the patient and the experience of the doctors come to the fore. Let’s compare the basic features of both surgical methods and their superiority to each other.
In classical open surgery, your surgeon performs the surgery by making an incision in the body. In laparoscopic surgery, the surgeon makes several separate incisions at the required points, inserts small instruments and a camera, and performs the surgery using these fine instruments. The image from the camera is projected onto a screen and the surgeon can watch his operations from here.
The main advantage of laparoscopic surgery is actually that this is a point common to all closed surgical methods, it has multiple small incisions instead of one large incision, and with it, less blood loss, less pain and better postoperative wound healing.
In addition to its benefits for the patient, it also has serious economic benefits: the hospital stay will be shorter, the associated costs will decrease, and the patients will be able to return to work sooner because they recover more quickly.
There are also some limitations of laparoscopic surgery: since the image is two-dimensional, it may cause difficulties in the evaluation of critical structures, and since the laparoscopic instruments do not have joints, their movements may be somewhat limited, and special surgeries may challenge surgeons. The advantage of laparoscopic surgery over robotic surgery is that the surgeon is directly at the patient’s head and can use the sense of touch while using the instruments.
Robotic surgery, on the other hand, is similar to laparoscopic surgery in many ways: the surgeon works by making several small incisions and placing the robotic instruments and camera in the operating field.
The difference of robotic surgery from laparoscopy is that the surgeon sits in front of a computer and moves the robot using the controls there. In laparoscopic surgery, the surgeon directly controls the instruments that touch the patient.
Another difference in robotic surgery is that the image is 3-dimensional and slightly enlarged. This allows surgeons to work more controlled and gentler alongside important vascular or nerve structures.
Another distinguishing factor that makes robotic surgery different from laparoscopic surgery is that the robotic instruments are articulated in a way that mimics the human hand.
You can read my Robotic Surgery article to get more information about robotic surgery treatment areas and robotic surgery .
In Turkey, the number of centers providing robotic surgery has increased in recent years. It is stated in studies conducted in the world that robotic surgeries can be advantageous especially in overweight patients. Another group of patients who benefit from robotic surgery are patients who need to be operated on because of cancer.
Especially in uterine cancer (endometrial cancer) patients, overweight is a very common condition, and these patients are sometimes referred to open surgery just because of obesity. It was beneficial for patients who were scheduled for surgery with the diagnosis of uterine cancer to consult their physicians whether they are suitable for closed surgical procedures.
Dr. Derman Başaran’s Interests
Early diagnosis and surgical treatment of gynecological cancers.
Determination of radiotherapy and chemotherapy needs after surgery in patients with gynecological cancer.
Surgical treatment of benign but complicated gynecological and obstetric problems (such as genital fistulas, placental adhesion problems)
I am also interested in topics.
For information about Gynecological Oncology , you can visit the Gynecological Oncology page.