Journal of the European Society for Gynaecological Endoscopy


Robotic platforms in gynaecologic surgery: past, present, and future

M. Pavone1,2,3, A. Baroni3, C. Taliento4,5, M. Goglia6, L. Lecointre1,7,8, A. Rosati3, A. Forgione2, Cherif Akladios7, G. Scambia3, D. Querleu1,3, J. Marescaux2, B. Seeliger1,2,7,9

1 IHU Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France, 67091
2 IRCAD, Research Institute against Digestive Cancer, Strasbourg, France, 67091
3 Dipartimento di Scienze per la salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, UOC Ginecologia Oncologica, Rome, Italy, 00168
4 Department of Obstetrics and Gynecology, University Hospital Ferrara, Ferrara, Italy, 44100
5 Department of Obstetrics and Gynecology, University Hospitals Leuven, Leuven 3000, Belgium, 3000
6 Department of Translational Medicine and Oncology, Sant’Andrea University Hospital, Sapienza University of Rome, Italy, 00161
7 ICube, UMR 7357 CNRS, University of Strasbourg, Strasbourg, France 67000
8 University Hospitals of Strasbourg, Department of Gynecologic Surgery, Strasbourg, France, 67091
9 University Hospitals of Strasbourg, Department of Digestive and Endocrine Surgery, Strasbourg, France, 67091


Robotic-assisted surgery, minimally invasive surgery, multi-port, single-port, artificial intelligence, image-guided surgery

Published online: Jun 28 2024


Background: More than two decades ago, the advent of robotic laparoscopic surgery marked a significant milestone, featuring the introduction of the AESOP robotic endoscope control system and the ZEUS robotic surgery system. The latter, equipped with distinct arms for the laparoscope and surgical instruments, was designed to accommodate remote connections, enabling the practice of remote telesurgery as early as 2001. Subsequent technological progress has given rise to a range of options in today’s market, encompassing multi-port and single-port systems, both rigid and flexible, across various price points, with further growth anticipated.

Objective: This article serves as an indispensable guide for gynaecological surgeons with an interest in embracing robotic surgery.

Materials and Methods: Drawing insights from the experience of the Strasbourg training centre for minimally invasive surgery (IRCAD), this article offers a comprehensive overview of existing robotic platforms in the market, as well as those in development.

Results: Robotic surgical systems not only streamline established operative methods but also broaden the scope of procedures, including intra- and transluminal surgeries. As integral components of the digital surgery ecosystem, these robotic systems actively contribute to the increasing integration and adoption of advanced technologies, such as artificial intelligence-based data analysis and support systems.

Conclusion: Robotic surgery is increasingly being adopted in clinical practice. With the growing number of systems available on the marketplace, the primary challenge lies in identifying the optimal platform for each specific procedure and patient. The seamless integration of robotic systems with artificial intelligence, image-guided surgery, and telesurgery presents undeniable advantages, enhancing the precision and effectiveness of surgical interventions.

What is new? This article provides a guide to the robotic platforms available on the market and those in development for gynaecologists interested in robotic surgery