Robotic Gynecologic Oncology Surgery with the da Vinci Xi at Bumrungrad

 
A diagnosis of gynecologic cancer can be life-changing. At Bumrungrad Robotic Surgery Center, women facing conditions such as endometrial, cervical, ovarian, or uterine cancers now have access to the da Vinci Xi robotic surgical system - a technology that delivers precision, safety, and faster recovery. Since 2016, Bumrungrad has been a leader in robotic surgery, offering one of the most comprehensive programs in Thailand and Asia.

 

What is Robotic Gynecologic Oncology Surgery?

Robotic surgery is a form of minimally invasive surgery where the surgeon uses the da Vinci Xi system to perform complex procedures through small incisions.

• Surgeon Console – The surgeon operates from a console with a magnified, 3D high-definition view.
• Patient Cart – Robotic arms, controlled by the surgeon, translate every movement into precise action inside the body.
• Vision Cart – Integrates real-time imaging and communication for the surgical team.

 
Unlike open surgery, which requires large abdominal incisions, robotic surgery allows for hysterectomy, radical hysterectomy, and lymph node dissection with minimal trauma. The robotic arms bend and rotate far beyond the range of the human wrist, enabling surgeons to access deep pelvic areas with unparalleled accuracy.
 
 

Procedures in Robotic Gynecologic Oncology Surgery

At Bumrungrad Robotic Surgery Center, the da Vinci Xi system is applied across a wide spectrum of gynecologic oncology and complex benign conditions.

• Endometrial (Uterine) Cancer
  • Standard treatment often involves hysterectomy (removal of the uterus) and lymph node dissection to assess cancer spread.
  • With robotic assistance, surgeons can perform these delicate steps with greater precision, reducing the risk of complications and ensuring faster recovery.

• Cervical Cancer (Early Stage)
  • Requires a radical hysterectomy (removal of the uterus, cervix, part of the vagina, and surrounding tissues) plus pelvic lymph node dissection.
  • The da Vinci Xi provides enhanced visualization of the narrow pelvic space, enabling safe removal of affected tissues while protecting surrounding nerves and organs.

• Ovarian Tumors (Selected Cases)
  • In selected patients, robotic surgery allows for removal of ovarian masses, staging procedures, and assessment of disease spread.
  • The technology helps minimize trauma to surrounding tissues, which is especially important when fertility preservation is desired.

• Uterine Fibroids and Complex Benign Conditions
  • Large fibroids or complex benign tumors that impact fertility or quality of life can be removed robotically.
  • For women who wish to preserve fertility, robotic myomectomy (fibroid removal) offers precise excision while protecting the uterus, with less bleeding and faster recovery compared to open surgery.
  • Pelvic endometriosis, especially those with deep infiltrating lesions, widespread peritoneal disease, or involvement of the urinary and intestinal tracts.

 

Comparing Surgical Approaches

 

Feature	Open Surgery	Laparoscopic Surgery	Robotic Surgery (da Vinci Xi)
Incision size	Large (15–20 cm)	Small (0.5–1 cm)	Small (0.5–1 cm)
Surgeon’s view	Direct, limited	2D camera	3D HD, magnified up to 10x
Instrument mobility	Hand-held, limited	Rigid, stick-like	Wristed, 360° range of motion
Blood loss	Higher	Moderate	Minimal
Pain after surgery	Significant	Reduced	Significantly reduced
Hospital stay	Longer (5–7 days)	Shortest (1–3 days)	Shortest (1–3 days)
Recovery time	6–8 weeks	1-3 weeks	1–2 weeks
Complication risk	Higher	Lower	Less Lower
Scarring	Large visible scar	Small scars	Minimal, almost invisible

 

Benefits for Patients

• Less pain and blood loss
• Minimal scarring with small incisions
• Shorter hospitalization and quicker return to normal life
• Lower infection risks and surgical complications
• Better quality of life, especially for younger women wishing to preserve body image and dignity

 

Patient Experience at Bumrungrad

At Bumrungrad Robotic Surgery Center, robotic-assisted gynecologic surgery is not just about technology—it’s about care. Patients benefit from:

• A multidisciplinary team of gynecologic oncologists, anesthesiologists, nurses, and rehabilitation specialists.
• Personalized treatment planning based on cancer type, stage, and overall health.
• One of the largest robotic surgery case volumes in Asia, ensuring safety and expertise.
• Compassionate support at every step of the journey.

 
At Bumrungrad, robotic-assisted surgery with the da Vinci Xi is more than an operation - it is a pathway back to health, dignity, and hope.

 

FAQ

1. Is robotic surgery safe for gynecologic cancers?
Yes. The da Vinci Xi is FDA-approved and has been used worldwide for thousands of gynecologic procedures with proven safety and effectiveness.
 
2. Does the robot replace the surgeon?
No. The surgeon is always in complete control of the robotic system. The technology enhances their skill—it does not replace it.
 
3. Who is a candidate for robotic gynecologic surgery?
Eligibility depends on the type and stage of cancer, tumor size, age, and general health. A consultation at Bumrungrad determines the best approach.
 
4. How is robotic surgery different from laparoscopy?
While both are minimally invasive, robotic instruments provide wrist-like movement, enhanced precision, and superior 3D vision—making complex procedures safer and more effective.


By Bumrungrad Robotic Surgery Center