Minimally invasive and robot-assisted interventions in the treatment of gynecological malignant tumors: opportunities for preserving reproductive function

Aim: to systematize and analyze current data on the use of minimally invasive and robot-assisted interventions in the treatment of gynecologic malignant tumors in reproductive age women who wish to preserve fertility.Materials and Methods. The search was conducted in the PubMed/MEDLINE, Scopus, Web...

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Main Authors: A. U. Khamadyanova, T. T. Gaev, D. O. Gatsoev, V. V. Andreev, A. S. Pazhitnova, E. O. Tikhonova, V. G. Kim, D. A. Talalaeva, V. V. Agapova, R. S. Botina, A. K. Yakovleva, S. D. Vasilieva, D. Yu. Bakulin
Format: Article
Language:Russian
Published: IRBIS LLC 2020-04-01
Series:Акушерство, гинекология и репродукция
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Online Access:https://www.gynecology.su/jour/article/view/2421
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author A. U. Khamadyanova
T. T. Gaev
D. O. Gatsoev
V. V. Andreev
A. S. Pazhitnova
E. O. Tikhonova
V. G. Kim
D. A. Talalaeva
V. V. Agapova
R. S. Botina
A. K. Yakovleva
S. D. Vasilieva
D. Yu. Bakulin
author_facet A. U. Khamadyanova
T. T. Gaev
D. O. Gatsoev
V. V. Andreev
A. S. Pazhitnova
E. O. Tikhonova
V. G. Kim
D. A. Talalaeva
V. V. Agapova
R. S. Botina
A. K. Yakovleva
S. D. Vasilieva
D. Yu. Bakulin
author_sort A. U. Khamadyanova
collection DOAJ
description Aim: to systematize and analyze current data on the use of minimally invasive and robot-assisted interventions in the treatment of gynecologic malignant tumors in reproductive age women who wish to preserve fertility.Materials and Methods. The search was conducted in the PubMed/MEDLINE, Scopus, Web of Science, and eLibrary databases among the primary sources published from 01.01.2000 tо 28.02.2025. There were retrieved keywords and MeSH (Medical Subject Headings) terms including: “robotic surgery”, “robot-assisted surgery”, “fertility preservation”, “gynecologic cancer”, “cervical cancer”, “endometrial cancer”, “ovarian cancer”, “reproductive age”, “minimally invasive surgery”, “uterine transplantation”, as well as the corresponding Russian terms. Original studies focusing on oncologic and reproductive outcomes in women under the age of 45 were included in the analysis. The methodology followed the PRISMA guidelines. The final analysis included 53 publications.Results. The data evidence about the effectiveness and oncologic safety of fertility-preserving approaches in early-stage cervical, endometrial, and ovarian cancer. Robot-assisted interventions vs. conventional techniques demonstrated comparable or superior outcomes in fertility preservation with fewer complications and faster recovery. Additional topics addressed include ovarian transposition, uterine transplantation, and alternative fertility preservation strategies.Conclusion. Robot-assisted surgery extends the potential for fertility-sparing treatment of gynecologic malignant tumors in reproductive age women. Such interventions should be performed in specialized centers by multidisciplinary teams. Further research is needed to standardize treatment protocols and evaluate long-term oncologic and reproductive outcomes.
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spelling doaj-art-2fda5e83ba9d4a1eb69a4ff61654abd42025-08-20T02:53:58ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942020-04-010010.17749/2313-7347/ob.gyn.rep.2025.628963Minimally invasive and robot-assisted interventions in the treatment of gynecological malignant tumors: opportunities for preserving reproductive functionA. U. Khamadyanova0T. T. Gaev1D. O. Gatsoev2V. V. Andreev3A. S. Pazhitnova4E. O. Tikhonova5V. G. Kim6D. A. Talalaeva7V. V. Agapova8R. S. Botina9A. K. Yakovleva10S. D. Vasilieva11D. Yu. Bakulin12Bashkir State Medical University, Ministry of Health of the Russian FederationNorth Ossetian State Medical Academy, Ministry of Health of the Russian FederationNorth Ossetian State Medical Academy, Ministry of Health of the Russian FederationPrivolzhsky Research Medical University, Ministry of Health of the Russian FederationPirogov Russian National Research Medical University, Ministry of Health of the Russian FederationKuban State Medical University, Ministry of Health of the Russian FederationNovosibirsk State Medical University, Ministry of Health of the Russian FederationBashkir State Medical University, Ministry of Health of the Russian FederationPirogov Russian National Research Medical University, Ministry of Health of the Russian FederationKazan (Privolzhsky) Federal UniversityKazan (Privolzhsky) Federal UniversityBashkir State Medical University, Ministry of Health of the Russian FederationPirogov Russian National Research Medical University, Ministry of Health of the Russian FederationAim: to systematize and analyze current data on the use of minimally invasive and robot-assisted interventions in the treatment of gynecologic malignant tumors in reproductive age women who wish to preserve fertility.Materials and Methods. The search was conducted in the PubMed/MEDLINE, Scopus, Web of Science, and eLibrary databases among the primary sources published from 01.01.2000 tо 28.02.2025. There were retrieved keywords and MeSH (Medical Subject Headings) terms including: “robotic surgery”, “robot-assisted surgery”, “fertility preservation”, “gynecologic cancer”, “cervical cancer”, “endometrial cancer”, “ovarian cancer”, “reproductive age”, “minimally invasive surgery”, “uterine transplantation”, as well as the corresponding Russian terms. Original studies focusing on oncologic and reproductive outcomes in women under the age of 45 were included in the analysis. The methodology followed the PRISMA guidelines. The final analysis included 53 publications.Results. The data evidence about the effectiveness and oncologic safety of fertility-preserving approaches in early-stage cervical, endometrial, and ovarian cancer. Robot-assisted interventions vs. conventional techniques demonstrated comparable or superior outcomes in fertility preservation with fewer complications and faster recovery. Additional topics addressed include ovarian transposition, uterine transplantation, and alternative fertility preservation strategies.Conclusion. Robot-assisted surgery extends the potential for fertility-sparing treatment of gynecologic malignant tumors in reproductive age women. Such interventions should be performed in specialized centers by multidisciplinary teams. Further research is needed to standardize treatment protocols and evaluate long-term oncologic and reproductive outcomes.https://www.gynecology.su/jour/article/view/2421robot-assisted surgerycervical cancerendometrial cancerovarian cancerfertility preservationgynecologic oncologyminimally invasive surgeryuterine transplantation
spellingShingle A. U. Khamadyanova
T. T. Gaev
D. O. Gatsoev
V. V. Andreev
A. S. Pazhitnova
E. O. Tikhonova
V. G. Kim
D. A. Talalaeva
V. V. Agapova
R. S. Botina
A. K. Yakovleva
S. D. Vasilieva
D. Yu. Bakulin
Minimally invasive and robot-assisted interventions in the treatment of gynecological malignant tumors: opportunities for preserving reproductive function
Акушерство, гинекология и репродукция
robot-assisted surgery
cervical cancer
endometrial cancer
ovarian cancer
fertility preservation
gynecologic oncology
minimally invasive surgery
uterine transplantation
title Minimally invasive and robot-assisted interventions in the treatment of gynecological malignant tumors: opportunities for preserving reproductive function
title_full Minimally invasive and robot-assisted interventions in the treatment of gynecological malignant tumors: opportunities for preserving reproductive function
title_fullStr Minimally invasive and robot-assisted interventions in the treatment of gynecological malignant tumors: opportunities for preserving reproductive function
title_full_unstemmed Minimally invasive and robot-assisted interventions in the treatment of gynecological malignant tumors: opportunities for preserving reproductive function
title_short Minimally invasive and robot-assisted interventions in the treatment of gynecological malignant tumors: opportunities for preserving reproductive function
title_sort minimally invasive and robot assisted interventions in the treatment of gynecological malignant tumors opportunities for preserving reproductive function
topic robot-assisted surgery
cervical cancer
endometrial cancer
ovarian cancer
fertility preservation
gynecologic oncology
minimally invasive surgery
uterine transplantation
url https://www.gynecology.su/jour/article/view/2421
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