What Is Robotic Surgery?
Robotic surgery is a form of minimally invasive surgery performed through small incisions. It uses a robotic system — most commonly the da Vinci Surgical System — which translates the surgeon’s hand movements into precise movements of tiny instruments inside your body.
Despite the name, the robot does not act on its own — the surgeon controls all movements from a console in the operating room.
A brief history of robotic surgery
Robotic surgery was first developed in the late 1990s, initially for military and remote surgical applications. It was later adapted for civilian healthcare, with the da Vinci Surgical System becoming the most widely used platform worldwide. The da Vinci system is what is used at the Prince of Wales Private Hospital.
In Australia, robotic surgery has been increasingly adopted over the past two decades, particularly in gynaecology, urology, and colorectal surgery. Today, it is considered an important option for selected patients undergoing complex pelvic surgery.
Importantly, the robot does not operate independently — the surgeon is in full control at all times.
Why Use Robotic Surgery in Gynaecology?
Robotic-assisted surgery builds on traditional laparoscopic surgery, offering:
Enhanced Visualisation
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A high-definition, 3D view of the internal anatomy allows surgeons to see fine structures clearly.
Greater Dexterity
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Instruments articulate beyond the range of the human hand, which can help in tight spaces like the pelvis.
Precision
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These capabilities can be particularly helpful in complex conditions (e.g. deep endometriosis) or when meticulous dissection is needed.
Small Incisions
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Like laparoscopy, robotic surgery uses small cuts, which can mean:
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Less pain after surgery
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Shorter hospital stays
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Less blood loss
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Faster recovery
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A 2019 Cochrane review found that robotic surgery for many gynaecological procedures is at least as safe and effective as conventional laparoscopy, with similar outcomes in experienced hands (Maher et al., 2019).
Is Robotic Surgery Right for Me?
Robotic surgery is one of several surgical options. The best choice depends on:
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Your diagnosis
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Underlying health conditions
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Prior surgeries
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Your personal goals and recovery priorities
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Surgeon experience and available technology
A thorough consultation will help determine what approach best fits your needs.