23 May Robotic Surgery in Gynaecology
Why All the Interest in Robotic Surgery?
Robotic surgery has been making headlines in gynaecology for its ability to assist with complex procedures using minimally invasive techniques. Powered by platforms like the da Vinci Surgical System, robotic surgery enhances the precision and control available to the surgeon — but it’s not a robotic takeover.
While the term “robotic surgery” may sound futuristic, the robot doesn’t operate on its own. Rather, it’s a highly advanced surgical tool controlled entirely by the surgeon via a console. For patients, it means access to minimally invasive procedures that may have otherwise required open surgery.
So why consider robotic surgery if conventional laparoscopy already exists?
What Exactly Is Robotic Surgery?
Robotic gynaecological surgery is a form of keyhole (laparoscopic) surgery, but it uses advanced robotic instruments to improve accuracy, vision, and dexterity. The da Vinci system provides:
- A 3D, high-definition, magnified view of the surgical site
- Wristed instruments that mimic — and exceed — the range of motion of the human hand
- Real-time control via a surgeon-operated console
For standard procedures on healthy patients — such as a straightforward hysterectomy — traditional laparoscopy may suffice. However, for patients with a larger uterus, significant fibroids, or higher BMI, robotic tools offer critical advantages by making difficult anatomy more accessible.
When Does Robotic Surgery Outperform Laparoscopy?
The best way to think about it might be this: laparoscopic surgery is like driving a car. If you’re driving a short distance on a flat road, any reliable vehicle will do. But if the road is winding, visibility is poor, or the journey is complex — you’ll want something that handles well and provides more control.
Robotic surgery is that advanced vehicle — a “Rolls Royce” in surgical terms — that helps the surgeon navigate complicated procedures more safely.
This makes robotic surgery particularly helpful for:
- Large or fibroid-filled uteruses
- Severe endometriosis
- Complex myomectomy procedures
- Patients with prior abdominal surgery or scarring
Is Robotic Surgery Becoming More Accessible?
At present, robotic surgery is available mainly in private hospitals, as the technology requires a significant investment. The da Vinci system, developed by Intuitive Surgical, has long dominated the market. However, new competitors are entering the space, and with increased competition comes greater affordability and access.
Many private health funds now cover robotic procedures. As costs drop and training expands, robotic gynaecological surgery may become increasingly available in public healthcare settings across Australia.
It’s Not About the Robot — It’s About the Surgeon
There’s a misconception that robotic surgery automates the process, but in truth, it’s the surgeon’s expertise that makes the difference. The robot does not make decisions or operate independently — it is a tool guided by the specialist’s hands via the console.
What matters most isn’t whether your surgeon uses robotic tools or not, but how familiar and experienced they are with the chosen technique.
Dr Kent Kuswanto is not only an early adopter of robotic gynaecological surgery in Australia but also a certified proctor for the da Vinci system, responsible for training other specialists. His high surgical volume and specialised expertise help ensure consistent, safe outcomes for patients.
Final Thoughts
Robotic surgery isn’t for everyone — but for many women, especially those with complex conditions, it offers a less invasive, more precise surgical option. From reduced scarring and pain to faster recovery, the benefits are clear when paired with the right surgical expertise. You can also explore real robotic surgery patient stories to understand how others have experienced the procedure, recovery, and results firsthand.
If you’re navigating your treatment options or have been advised to undergo open surgery, it may be worth exploring whether robotic surgery could offer you a better path.
Contact Dr Kent Kuswanto’s team to discuss your condition and explore whether robotic gynaecological surgery is the right approach for you.