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Minimally invasive and robot-assisted interventions in the treatment of gynecological malignant tumors: opportunities for preserving reproductive function

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Bibliographic Details
Title: Minimally invasive and robot-assisted interventions in the treatment of gynecological malignant tumors: opportunities for preserving reproductive function
Authors: A. U. Khamadyanova, T. T. Gaev, D. O. Gatsoev, V. V. Andreev, A. S. Pazhitnova, E. O. Tikhonova, V. G. Kim, D. A. Talalaeva, V. V. Agapova, R. S. Botina, A. K. Yakovleva, S. D. Vasilieva, D. Yu. Bakulin
Source: Акушерство, гинекология и репродукция, Vol 0, Iss 0 (2020)
Publisher Information: IRBIS, 2025.
Publication Year: 2025
Subject Terms: robot-assisted surgery, ovarian cancer, cervical cancer, fertility preservation, endometrial cancer, uterine transplantation, RG1-991, Gynecology and obstetrics, gynecologic oncology, minimally invasive surgery
Description: Aim: to systematize and analyze current data on the use of minimally invasive and robot-assisted interventions in the treatment of gynecologic malignant tumors in reproductive age women who wish to preserve fertility.Materials and Methods. The search was conducted in the PubMed/MEDLINE, Scopus, Web of Science, and eLibrary databases among the primary sources published from 01.01.2000 tо 28.02.2025. There were retrieved keywords and MeSH (Medical Subject Headings) terms including: “robotic surgery”, “robot-assisted surgery”, “fertility preservation”, “gynecologic cancer”, “cervical cancer”, “endometrial cancer”, “ovarian cancer”, “reproductive age”, “minimally invasive surgery”, “uterine transplantation”, as well as the corresponding Russian terms. Original studies focusing on oncologic and reproductive outcomes in women under the age of 45 were included in the analysis. The methodology followed the PRISMA guidelines. The final analysis included 53 publications.Results. The data evidence about the effectiveness and oncologic safety of fertility-preserving approaches in early-stage cervical, endometrial, and ovarian cancer. Robot-assisted interventions vs. conventional techniques demonstrated comparable or superior outcomes in fertility preservation with fewer complications and faster recovery. Additional topics addressed include ovarian transposition, uterine transplantation, and alternative fertility preservation strategies.Conclusion. Robot-assisted surgery extends the potential for fertility-sparing treatment of gynecologic malignant tumors in reproductive age women. Such interventions should be performed in specialized centers by multidisciplinary teams. Further research is needed to standardize treatment protocols and evaluate long-term oncologic and reproductive outcomes.
Document Type: Article
ISSN: 2500-3194
2313-7347
DOI: 10.17749/2313-7347/ob.gyn.rep.2025.628
Access URL: https://doaj.org/article/2fda5e83ba9d4a1eb69a4ff61654abd4
Rights: URL: https://www.gynecology.su/jour/about/editorialPolicies#openAccessPolicy
Accession Number: edsair.doi.dedup.....0f3535d9f33944581c6c6138b5407b65
Database: OpenAIRE
Description
Abstract:Aim: to systematize and analyze current data on the use of minimally invasive and robot-assisted interventions in the treatment of gynecologic malignant tumors in reproductive age women who wish to preserve fertility.Materials and Methods. The search was conducted in the PubMed/MEDLINE, Scopus, Web of Science, and eLibrary databases among the primary sources published from 01.01.2000 tо 28.02.2025. There were retrieved keywords and MeSH (Medical Subject Headings) terms including: “robotic surgery”, “robot-assisted surgery”, “fertility preservation”, “gynecologic cancer”, “cervical cancer”, “endometrial cancer”, “ovarian cancer”, “reproductive age”, “minimally invasive surgery”, “uterine transplantation”, as well as the corresponding Russian terms. Original studies focusing on oncologic and reproductive outcomes in women under the age of 45 were included in the analysis. The methodology followed the PRISMA guidelines. The final analysis included 53 publications.Results. The data evidence about the effectiveness and oncologic safety of fertility-preserving approaches in early-stage cervical, endometrial, and ovarian cancer. Robot-assisted interventions vs. conventional techniques demonstrated comparable or superior outcomes in fertility preservation with fewer complications and faster recovery. Additional topics addressed include ovarian transposition, uterine transplantation, and alternative fertility preservation strategies.Conclusion. Robot-assisted surgery extends the potential for fertility-sparing treatment of gynecologic malignant tumors in reproductive age women. Such interventions should be performed in specialized centers by multidisciplinary teams. Further research is needed to standardize treatment protocols and evaluate long-term oncologic and reproductive outcomes.
ISSN:25003194
23137347
DOI:10.17749/2313-7347/ob.gyn.rep.2025.628