Urologic and gynecologic surgeons are the top utilizers of robotic surgery; however, non-obstetrical robotic-assisted laparoscopic surgery (RALS) in pregnant patients is infrequent. A systematic literature review was performed to ascertain the frequency, indication and complications of RALS in pregnancy. Results showed thirty-eight pregnancies from eleven publications between 2008-2020. Five cases were for urologic indication and thirty-three for gynecologic indication. Minimal surgical alterations were required. Although no adverse maternal-fetal outcomes were reported, there are not enough cases published to determine safety. This review demonstrates the feasibility of RALS for the pregnant population in the hands of competent robotic surgeons.
Urology. 2020 May 20 [Epub ahead of print]
Courtney Capella, Joseph Godovchik, Thenappan Chandrasekar, Huda B Al-Kouatly
Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA. Electronic address: ., Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA., Department of Urology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA., Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.