Robotic Gastrointestinal (GI) Procedures in Gynecology

  • John T. Kidwell
  • Nitin MishraEmail author


Robotic gynecological procedures are becoming more common in tertiary and quaternary referral centers [1]. Multidisciplinary approaches to extensive endometriosis or advanced gynecological malignancies are now commonplace. The GI surgeon may be consulted electively for en bloc resection of bowel or assistance with adhesiolysis and exposure of the pelvis. Nonelective consultation may result from injury to the surrounding gastrointestinal tract (colon or small bowel) during complex gynecology surgery. The anatomical proximity of the small bowel and colon with respect to the female pelvic organs renders this unavoidable. In the setting of robotic gynecology surgery, intestinal encounters may be observed in the background of tumor involvement in gynecologic malignancies, implants in deep infiltrating endometriosis, or inadvertent intestinal injury. The role of the GI surgeon may involve segmental resection of the colon or small intestine with anastomosis, colostomy or ileostomy formation, and primary repair of bowel injuries.


Robotic surgery Gynecology surgery Gastrointestinal surgery 

Supplementary material

Video 21.1

(MP4 635900 kb)


  1. 1.
    Yim GW, Kim YT. Robotic surgery in gynecologic cancer. Curr Opin Obstet Gynecol. 2012;24(1):14–23.CrossRefPubMedGoogle Scholar
  2. 2.
    Bouquet de Joliniere J, et al. Robotic surgery in gynecology. Front Surg. 2016;3:26.PubMedPubMedCentralGoogle Scholar
  3. 3.
    Antoniou SA, et al. Robot-assisted laparoscopic surgery of the colon and rectum. Surg Endosc. 2012;26(1):1–11.CrossRefPubMedGoogle Scholar
  4. 4.
    Leong AP, Londono-Schimmer EE, Phillips RK. Life-table analysis of stomal complications following ileostomy. Br J Surg. 1994;81(5):727–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Londono-Schimmer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy. Dis Colon Rectum. 1994;37(9):916–20.CrossRefPubMedGoogle Scholar
  6. 6.
    Park JJ, et al. Stoma complications: the Cook County Hospital experience. Dis Colon Rectum. 1999;42(12):1575–80.CrossRefPubMedGoogle Scholar
  7. 7.
    Porter JA, et al. Complications of colostomies. Dis Colon Rectum. 1989;32(4):299–303.CrossRefPubMedGoogle Scholar
  8. 8.
    Picerno, T., et al., Bowel injury in robotic gynecologic surgery: risk factors and management options. A systematic review. Am J Obstet Gynecol, 2017 216(1):10-26.Google Scholar
  9. 9.
    Park JS, et al. Randomized clinical trial of robot-assisted versus standard laparoscopic right colectomy. Br J Surg. 2012;99:1219–26.CrossRefPubMedGoogle Scholar
  10. 10.
    Pappou EP, Weiser MR. Robotic colonic resection. J Surg Oncol. 2015;112(3):315–20. Review. PubMed PMID: 26179217.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of SurgeryMayo Clinic College of MedicinePhoenixUSA

Personalised recommendations