Introduction: Minimally invasive surgery (MIS) has gained global acceptance due to benefits like reduced pain, shorter hospital stays, and quicker recovery. Techniques like single-incision laparoscopic surgery (SILS), also known as laparo-endoscopic single-site surgery (LESS), and natural orifice transluminal endoscopic surgery (NOTES)are advancing, aided by robotic systems.

Material and Methods: This systematic review followed PRISMA guidelines 2020, searching various databases for recent articles. Exclusions encompassed pediatric age groups and non-English publications.

Results: Following a comprehensive search across PubMed, Medline, and Google Scholar using terms such as minimal invasive surgeries, robotics in gynecology, LESS, and NOTES, 52,857 articles were initially identified. After rigorous screening and applying specific criteria, 8 articles were selected for a systematic review based on their alignment with inclusion criteria and quality assessment.

Conclusion: Minimally invasive surgeries in gynecology benefit patients and healthcare systems by reducing postoperative complications and hospital stays. Advanced training enables their use in treating gynecological malignancies.

Keywords- MIS, NOTES, LESS, Gynecology, Invasive

1. Nieboer TE, Johnson N, Lethaby A, Tavender E, Curr E, Garry R, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 2009;(3): CD003677.
2. Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 2015;(8): CD003677.
3. Yoshiki N. Review of transvaginal natural orifice transluminal endoscopic surgery in gynecology. Gynecol Minim Invasive Ther. 2017;6:1-5.
4. Koo YJ. Recent advances in minimally invasive surgery for gynecologic indications. Yeungnam Univ J Med. 2018;35(2):150-155.
5. Jiang D, Yang Y, Zhang X, et al. Laparoendoscopic single-site compared with conventional laparoscopic surgery for gynaecological acute abdomen in pregnant women. J Int Med Res. 2021;49(10):1-10.
6. Sandberg EM, la Chapelle CF, van den Tweel MM, Schoones JW, Jansen FW. Laparoendoscopic single-site surgery versus conventional laparoscopy for hysterectomy: a systematic review and meta-analysis. Arch Gynecol Obstet. 2017;295:1089-1103.
7. Terzi H, Turkay U, Uzun ND, et al. Hysterectomy and salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) assisted by an umbilical camera: Case report and new hybrid technique in gynecology. Int J Surg Case Rep. 2018;51:349-351.
8. Ertan AK, Ulbricht M, Huebner K, Di Liberto A. The technique of robotic assisted laparoscopic surgery in gynaecology, its introduction into the clinical routine of a gynaecological department and the analysis of the perioperative courses - a German experience. J Turk Ger Gynecol Assoc. 2011;12:97-103
9. Alkatout I, O’Sullivan O, Peters G, Maass N. Expanding robotic-assisted surgery in gynecology using the potential of an advanced robotic system. Medicina. 2024;60:53.
10. Moore MS, Vo EH, Bhattarai B, Farley JH, Monk BJ, Willmott LJ, Chase DM. Robotic-assisted gynecologic surgery in an older population: A comparison study. J Geriatr Oncol. 2023;14:101533.
11. Sert BM, Boggess JF, Ahmad S, et al. Robot-assisted versus open radical hysterectomy: a multi-institutional experience for early-stage cervical cancer. Eur J Surg Oncol 2016; 42: 513–22.
12. Nam JH, Park JY, Kim DY, Kim JH, Kim YM, Kim YT. Laparoscopic versus open radical hysterectomy in early-stage cervical cancer: long-term survival outcomes in a matched cohort study. Ann Oncol 2012; 23: 903–11.
13. Corrado G, Vizza E, Legge F, et al. Comparison of different surgical approaches for stage IB1 cervical cancer patients: a multi-institution study and a review of the literature. Int J Gynecol Cancer 2018; 28: 1020–28.
14. He H, Zeng D, Ou H, Tang Y, Li J, Zhong H (2013) Laparoscopic treatment of endometrial cancer: systematic review. J Minim Invasive Gynecol 20:413–423
15. Wang Y-z, Deng L, Xu H-c, Zhang Y, Liang Z-q (2015) Laparoscopy versus laparotomy for the management of early stage cervical cancer. BMC Cancer 15:928

Abhipsa Sharma

Dr Rajender Prasad Government Medical college Kangra at Tanda, Himachal Pradesh, India