ABSTRACT
The robotic platform has enhanced the role of minimal invasive surgery, especially in complex pelvic surgical procedures. In addition to the significant reduction in perioperative morbidity, mortality, and length of hospital stay, as has been proven with conventional laparoscopy, this platform has allowed for less conversions to laparotomy along with better surgical maneuverability while operating in the complex pelvis. The robotic platform, manifested currently as the da Vinci system (Intuitive Surgical, Inc., Sunnyvale, California, USA) has found its path into many of our complex gynecologic oncology procedures. A description of the operative room setup and anesthesia challenges in addition to patient preparation and positioning are discussed in this chapter. A brief description of key points of the operative procedures performed with the robotic platform is presented.
