A Robotic-assisted Laparoscopic Hysterectomy is a type of minimally invasive hysterectomy utilizing robotic technology. The procedure is performed using a similar approach to that performed during a Laparoscopic Hysterectomy. Small incisions ranging in size from 1-1.5 cm are made on the abdominal wall. However, the da Vinci robot is utilized which allows the surgeon enhanced three-dimensional visualization and improved maneuverability for suturing the vagina closed once the uterus and cervix are removed. During the procedure, the surgeon sits at a console a few feet from the operation table looking through a monitor that provides a three dimensional view. From the console the surgeon directly controls the robot, which has arms for operating all instruments and also the ability to move, zoom and focus the robotic camera. Both hand controls and foot pedals are used to control all of the robotic instruments directly which can grasp, cut, burn, cauterize and suture inside the pelvis.
Like laparoscopic surgery, robotic-assisted procedures allow for a faster recovery, shorter post-operative stay, and less pain than the traditional abdominal approach.
See the step-by-step process of a Robotic-assisted Laparoscopic Hysterectomy used in a live surgery broadcast on According to Winnie.