ABSTRACT:

Objective: To review uptake and outcomes of robotic gynaecological surgery in England between 1st April 2006 and 31st March 2018.
Design: Retrospective cohort study.
Setting: Hospitals of the English National Health Service (NHS).
Population or sample: Women aged 18 years and above who had elective gynaecological surgery.
Methods: Robotic gynaecological procedures were defined as procedures that used a robotic minimal access approach for hysterectomy, adnexal surgery and urogynaecological surgery (sacrocolpopexy, sacrohysteropexy and colposuspension). Numbers of procedures were reviewed by year and mapped to the 44 NHS regions.
Main outcome measures: Length of stay (nights in hospital), laparotomy (conversion during primary procedure or after return to theatre for management of complication), and 30-day emergency readmission rates by year and procedure type.