As the only robotic device with FDA approval for gynecological surgery, the da Vinci? Surgical System dominates robot-assisted surgery in the field. Benefits to the Surgeon include decreased risk of neck and back injury secondary to improved ergonomics. However, patients benefit greatly due to decreased length of stay, decreased blood loss and analgesic requirements. Unfortunately the initial economic impact of purchasing and maintaining a robot is great but must be balanced with the potential savings from reduced length of stay and earlier return to normal activity. This article looks at the indications for robot-assisted surgery in gynecology. Assessing the efficacy of this modality compared to both straight stick (Laparoscopy) and open procedures. We discuss the impact and implications for surgical training imposed by robotic surgery. Furthermore, we assess the safety of robotic surgery from both the surgeons prospective and as a surgical modality.
 O. E. O’Sullivan and B. A. O’Reilly, “Robot-Assisted Surgery:—Impact on Gynaecological and Pelvic Floor Reconstructive Surgery,” International Urogynecology Journal, Vol. 23, No. 9, 2012, pp. 1163-1173.
 M. Reza, et al., “Meta-Analysis of Observational Studies on the Safety and Effectiveness of Robotic Gynaecological Surgery,” British Journal of Surgery, Vol. 97, No. 12, 2010, pp. 1772-1783. http://dx.doi.org/10.1002/bjs.7269
 A. P. Advincula and T. Falcone, “Laparoscopic Robotic Gynecologic Surgery,” Obstetrics and Gynecology Clinics of North America, Vol. 31, No. 3, 2004, pp. 599-609.
 C. Cronin, M. Hewitt, I. Harley, K. O’Donoghue and B. A. O’Reilly, “Robot-Assisted Laparoscopic Cervical Cerclage as an Interval Procedure,” Gynecological Surgery, Vol. 9, No. 3, 2012, pp. 317-321.
 Intuitive Surgical.
 R. Reynolds and A. P. Advincula, “Robot-Assisted Laparoscopic Hysterectomy: Technique and Initial Experience,” American Journal of Surgery, Vol. 191, No. 4, 2006, pp. 555-560.
 M. C. Bell, et al., “Comparison of Outcomes and Cost for Endometrial Cancer Staging via Traditional Laparotomy, Standard Laparoscopy and Robotic Techniques,” Gynecologic Oncology, Vol. 111, No. 3, 2008, pp. 407-411.
 J. F. Boggess, et al., “A Case-Control Study of RobotAssisted Type III Radical Hysterectomy with Pelvic Lymph Node Dissection Compared with Open Radical Hysterectomy,” American Journal of Obstetrics & Gynecology, Vol. 199, No. 4, 2008, pp. 357.e1-7.
 J. F. Boggess, et al., “A Comparative Study of 3 Surgical Methods for Hysterectomy with Staging for Endometrial Cancer: Robotic Assistance, Laparoscopy, Laparotomy,” American Journal of Obstetrics & Gynecology, Vol. 199, No. 4, 2008, pp. 360.e1-9.
 S. A. DeNardis, et al., “Robotically Assisted Laparoscopic Hysterectomy versus Total Abdominal Hysterectomy and Lymphadenectomy for Endometrial Cancer,” Gynecologic Oncology, Vol. 111, No. 3, 2008, pp. 412-417.
 R. Estape, et al., “A Case Matched Analysis of Robotic Radical Hysterectomy with Lymphadenectomy Compared with Laparoscopy and Laparotomy,” Gynecologic Oncology, Vol. 113, No. 3, 2009, pp. 357-361.
 J. P. Geisler, et al., “Robotically Assisted Laparoscopic Radical Hysterectomy Compared with Open Radical Hysterectomy,” International Journal of Gynecological Cancer, Vol. 20, No. 3, 2010, pp. 438-442.
 A. Gocmen, F. Sanlikan and M. G. Ucar, “Comparison of Robotic-Assisted Surgery Outcomes with Laparotomy for Endometrial Cancer Staging in Turkey,” Archives of Gynecology and Obstetrics, Vol. 282, No. 5, 2010, pp. 539545. http://dx.doi.org/10.1007/s00404-010-1593-z
 L. A. Cantrell, et al., “Survival Outcomes for Women Undergoing Type III Robotic Radical Hysterectomy for Cervical Cancer: A 3-Year Experience,” Gynecologic Oncology, Vol. 117, No. 2, 2010, pp. 260-265.
 D. S. Veljovich, et al., “Robotic Surgery in Gynecologic Oncology: Program Initiation and Outcomes after the First Year with Comparison with Laparotomy for Endometrial Cancer Staging,” American Journal of Obstetrics & Gynecology, Vol. 198, No. 6, 2008, pp. 679.e1-10.
 H. W. Schreuder, et al., “From Open Radical Hysterectomy to Robot-Assisted Laparoscopic Radical Hysterectomy for Early Stage Cervical Cancer: Aspects of a Single Institution Learning Curve,” Gynecological Surgery, Vol. 7, No. 3, 2010, pp. 253-258.
 E. J. Nam, et al., “A Case-Control Study of Robotic Radical Hysterectomy and Pelvic Lymphadenectomy Using 3 Robotic Arms Compared with Abdominal Radical Hysterectomy in Cervical Cancer,” International Journal of Gynecological Cancer, Vol. 20, No. 7, 2010, pp. 12841289. http://dx.doi.org/10.1111/IGC.0b013e3181ef0a14
 N. Nevadunsky, R. Clark, S. Ghosh, M. Muto, R. Berkowitz, A. Vitonis, et al., “Comparison of Robot-Assisted Total Laparoscopic Hysterectomy and Total Abdominal Hysterectomy for Treatment of Endometrial Cancer in Obese and Morbidly Obese Patients,” Journal of Robotic Surgery, Vol. 4, No. 4, 2010, pp. 247-252.
 C. A. Matthews, et al., “Evaluation of the Introduction of Robotic Technology on Route of Hysterectomy and Complications in the First Year of Use,” American Journal of Obstetrics & Gynecology, Vol. 203, No. 5, 2010, pp. 499. e1-5.
 M. P. Lowe, “A Comparison of Robot-Assisted and Traditional Radical Hysterectomy for Early-Stage Cervical Cancer,” Journal of Robotic Surgery, Vol. 3, No. 1, 2009, pp. 19-23.
 A. Maggioni, et al., “Robotic Approach for Cervical Cancer: Comparison with Laparotomy: A Case Control Study,” Gynecologic Oncology, Vol. 115, No. 1, 2009, pp. 60-64.
 M. Goel, T. Zollinger and D. Moore, “Surgical Staging of Endometrial Cancer: Robotic versus Open Technique Outcomes in a Contemporary Single Surgeon Series,” Journal of Robotic Surgery, Vol. 5, No. 2, 2011, pp. 109-114.
 D. Halliday, S. Lau, Z. Vaknin, C. Deland, M. Levental, E. McNamara, et al., “Robotic Radical Hysterectomy: Comparison of Outcomes and Cost,” Journal of Robotic Surgery, Vol. 4, No. 4, 2010, pp. 211-216.
 A. Gocmen, F. Sanlikan and M. Ucar, “Comparison of Outcomes between Laparotomy and Robotic Technique for Cervical Cancer,” Journal of Robotic Surgery, Vol. 4, No. 2, 2010, pp. 123-127.
 Y. W. Jung, et al., “Robot-Assisted Staging Using Three Robotic Arms for Endometrial Cancer: Comparison to Laparoscopy and Laparotomy at a Single Institution,” Journal of Surgical Oncology, Vol. 101, No. 2, 2010, pp. 116-121.
 E. M. Ko, et al., “Robotic versus Open Radical Hysterectomy: A Comparative Study at a Single Institution,” Gynecologic Oncology, Vol. 111, No. 3, 2008, pp. 425-430.
 J. Cardenas-Goicoechea, S. Adams, S. B. Bhat and T. C. Randall, “Surgical Outcomes of Robotic-Assisted Surgical Staging for Endometrial Cancer Are Equivalent to Traditional Laparoscopic Staging at a Minimally Invasive Surgical Center,” Gynecologic Oncology, Vol. 117, No. 2, 2010, pp. 224-228.
 P. A. Gehrig, L. A. Cantrell, A. Shafer, L. N. Abaid, A. Mendivil and J. F. Boggess, “What Is the Optimal Minimally Invasive Surgical Procedure for Endometrial Cancer Staging in the Obese and Morbidly Obese Woman?” Gynecologic Oncology, Vol. 111, No. 1, 2008, pp. 41-45.
 B. N. Giep, H. N. Giep and H. B. Hubert, “Comparison of Minimally Invasive Surgical Approaches for Hysterectomy at a Community Hospital: Robotic-Assisted Laparoscopic Hysterectomy, Laparoscopic-Assisted Vaginal Hysterectomy and Laparoscopic Supracervical Hysterectomy,” Journal of Robotic Surgery, Vol. 4, No. 3, 2010, pp. 167-175. http://dx.doi.org/10.1007/s11701-010-0206-y
 D. O. Holtz, G. Miroshnichenko, M. O. Finnegan, M. Chernick and C. J. Dunton, “Endometrial Cancer Surgery Costs: Robot vs Laparoscopy,” Journal of Minimally Invasive Gynecology, Vol. 17, No. 4, 2010, pp. 500-503.
 P. C. Lim, E. Kang and D. H. Park, “A Comparative Detail Analysis of the Learning Curve and Surgical Outcome for Robotic Hysterectomy with Lymphadenectomy versus Laparoscopic Hysterectomy with Lymphadenectomy in Treatment of Endometrial Cancer: A Case-Matched Controlled Study of the First One Hundred Twenty Two Patients,” Gynecologic Oncology, Vol. 120, No. 3, 2011, pp. 413-418. http://dx.doi.org/10.1016/j.ygyno.2010.11.034
 C. Nezhat, O. Lavie, M. Lemyre, O. Gemer and L. Bhagan, “Laparoscopic Hysterectomy with and without a Robot: Stanford Experience,” JSLS: Journal of the Society of Laparoendoscopic Surgeons, Vol. 13, No. 2, 2009, pp. 125128.
 T. N. Payne and F. R. Dauterive, “A Comparison of Total Laparoscopic Hysterectomy to Robotically Assisted Hysterectomy: Surgical Outcomes in a Community Practice,” Journal of Minimally Invasive Gynecology, Vol. 15, No. 3, 2008, pp. 286-291.
 D. Sarlos, L. Kots, N. Stevanovic and G. Schaer, “Robotic Hysterectomy versus Conventional Laparoscopic Hysterectomy: Outcome and Cost Analyses of a Matched CaseControl Study,” European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol. 150, No. 1, 2010, pp. 92-96. http://dx.doi.org/10.1016/j.ejogrb.2010.02.012
 L. G. Seamon, D. E. Cohn, M. S. Henretta, K. H. Kim, M. J. Carlson, G. S. Phillips and J. M. Fowler, “Minimally Invasive Comprehensive Surgical Staging for Endometrial Cancer: Robotics or Laparoscopy?” Gynecologic Oncology, Vol. 113, No. 1, 2009, pp. 36-41.
 B. Sert and V. Abeler, “Robotic Radical Hysterectomy in Early-Stage Cervical Carcinoma Patients, Comparing Results with Total Laparoscopic Radical Hysterectomy Cases. The Future Is Now?” International Journal of Medical Robotics and Computer Assisted Surgery, Vol. 3, No. 3, 2007, pp. 224-228. http://dx.doi.org/10.1002/rcs.152
 A. R. Shashoua, D. Gill and S. R. Locher, “Robotic-Assisted Total Laparoscopic Hysterectomy versus Conventional Total Laparoscopic Hysterectomy,” JSLS: Journal of the Society of Laparoendoscopic Surgeons, Vol. 13, No. 3, 2009, pp. 364-369.
 E. Lambaudie, F. Narducci, M. Bannier, C. Jauffret, N. Pouget, E. Leblanc and G. Houvenaeghel, “Role of RobotAssisted Laparoscopy in Adjuvant Surgery for Locally Advanced Cervical Cancer,” European Journal of Surgical Oncology, Vol. 36, No. 4, 2010, pp. 409-413.
 D. Vitobello, G. Siesto, C. Pirovano and N. Ieda, “Surgical Outcomes of Robotic Radical Hysterectomy after Neoadjuvant Chemotherapy for Locally Advanced Cervical Cancer: Comparison with Early Stage Disease,” European Journal of Surgical Oncology: The Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, Vol. 39, No. 1, 2013, pp. 87-93.
 C. Lonnerfors, T. Bossmar and J. Persson, “Port-Site Metastases Following Robot-Assisted Laparoscopic Surgery for Gynecological Malignancies,” Acta Obstetricia et Gynecologica Scandinavica, Vol. 92, No. 12, 2013, pp. 13611368. http://dx.doi.org/10.1111/aogs.12245
 J. F. Magrina, M. Espada, R. Munoz, B. N. Noble and R. M. C. Kho, “Robotic Adnexectomy Compared with Laparoscopy for Adnexal Mass,” Obstetrics & Gynecology, Vol. 114, No. 3, 2009, pp. 581-584.
 J. F. Magrina, R. L. Cetta, Y. H. Chang, G. Guevara and P. M. Magtibay, “Analysis of Secondary Cytoreduction for Recurrent Ovarian Cancer by Robotics, Laparoscopy and Laparotomy,” Gynecologic Oncology, Vol. 129, No. 2, 2013, pp. 336-340.
 C. Nezhat, M. Lewis, S. Kotikela, A. Veeraswamy, L. Saadat, B. Hajhosseini and C. Nezhat, “Robotic versus Standard Laparoscopy for the Treatment of Endometriosis,” Fertility and Sterility, Vol. 94, No. 7, 2010, pp. 2758-2760.
 G. Siesto, N. Ieda, R. Rosati and D. Vitobello, “Robotic Surgery for Deep Endometriosis: A Paradigm Shift,” The International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS, 2013.
 G. Nakib, V. Calcaterra, F. Scorletti, P. Romano, I. Goruppi, S. Mencherini, L. Avolio and G. Pelizzo, “Robotic Assisted Surgery in Pediatric Gynecology: Promising Innovation in Mini Invasive Surgical Procedures,” Journal of Pediatric and Adolescent Gynecology, Vol. 26, No. 1, 2013, pp. e5e7. http://dx.doi.org/10.1016/j.jpag.2012.09.009
 J. M. Gobern, C. J. Rosemeyer, J. F. Barter and A. J. Steren, “Comparison of Robotic, Laparoscopic and Abdominal Myomectomy in a Community Hospital,” JSLS: Journal of the Society of Laparoendoscopic Surgeons, Vol. 17, No. 1, 2013, pp. 116-120.
 E. E. Barakat, M. A. Bedaiwy, S. Zimberg, B. Nutter, M. Nosseir and T. Falcone, “Robotic-Assisted, Laparoscopic and Abdominal Myomectomy: A Comparison of Surgical Outcomes,” Obstetrics & Gynecology, Vol. 117, No. 2, 2011, pp. 256-265.
 C. J. Ascher-Walsh and T. L. Capes, “Robot-Assisted Laparoscopic Myomectomy Is an Improvement over Laparotomy in Women with a Limited Number of Myomas,” Journal of Minimally Invasive Gynecology, Vol. 17, No. 3, 2010, pp. 306-310.
 L. Griffin, J. Feinglass, A. Garrett, A. Henson, L. Cohen, A. Chaudhari and A. Lin, “Postoperative Outcomes after Robotic versus Abdominal Myomectomy,” JSLS: Journal of the Society of Laparoendoscopic Surgeons, Vol. 17, No. 3, 2013, pp. 407-413.
 M. C. Pitter, A. R. Gargiulo, L. M. Bonaventura, J. S. Lehman and S. S. Srouji, “Pregnancy Outcomes Following Robot-Assisted Myomectomy,” Human Reproduction, Vol. 28, No. 1, 2013, pp. 99-108.
 M. A. Bedaiwy, E. M. Barakat and T. Falcone, “Robotic Tubal Anastomosis: Technical Aspects,” JSLS: Journal of the Society of Laparoendoscopic Surgeons/Society of Laparoendoscopic Surgeons, Vol. 15, No. 1, 2011, pp. 10-15.
 S. P. Dharia Patel, M. P. Steinkampf, S. J. Whitten and B. A. Malizia, “Robotic Tubal Anastomosis: Surgical Technique and Cost Effectiveness,” Fertility and Sterility, Vol. 90, No. 4, 2008, pp. 1175-1179.
 K. George, M. S. Kamath and P. Tharyan, “Minimally Invasive versus Open Surgery for Reversal of Tubal Sterilization,” The Cochrane Database of Systematic Reviews, Vol. 2, 2013, Article ID: CD009174.
 J. Persson, P. Kannisto and T. Bossmar, “Robot-Assisted Abdominal Laparoscopic Radical Trachelectomy,” Gynecologic Oncology, Vol. 111, No. 3, 2008, pp. 564-567.
 L. Wolfe, S. De Pasquale, C. D. Adair, C. Torres, S. Stallings, C. Briery and C. Pearce, “Robotic-Assisted Laparoscopic Placement of Transabdominal Cerclage during Pregnancy,” American Journal of Perinatology, Vol. 25, No. 10, 2008, pp. 653-655. http://dx.doi.org/10.1055/s-0028-1090591
 J. Persson, S. Imboden, P. Reynisson, B. Andersson, C. Borgfeldt and T. Bossmar, “Reproducibility and Accuracy of Robot-Assisted Laparoscopic Fertility Sparing Radical Trachelectomy,” Gynecologic Oncology, Vol. 127, No. 3, 2012, pp. 484-488.
 C. Cronin, M. Hewitt, I. Harley, K. O’Donoghue and B. A. O’Reilly, “Robot-Assisted Laparoscopic Cervical Cerclage as an Interval Procedure,” Gynecological Surgery, Vol. 9, No. 3, 2012, pp. 317-321.
 C. Maher, K. Baessler, C. M. A. Glazener, E. J. Adams and S. Hagen, “Surgical Management of Pelvic Organ Prolapse in Women: A Short Version Cochrane Review,” Neurourology and Urodynamics, Vol. 27, No. 1, 2008, pp. 3-12. http://dx.doi.org/10.1002/nau.20542
 A. M. Ganatra, F. Rozet, R. Sanchez-Salas, E. Barret, M. Galiano, X. Cathelineau and G. Vallancien, “The Current Status of Laparoscopic Sacrocolpopexy: A Review,” European Urology, Vol. 55, No. 5, 2009, pp. 1089-1103.
 M. F. Paraiso, J. E. Jelovsek, A. Frick, C. C. G. Chen and M. D. Barber, “Laparoscopic Compared with Robotic Sacrocolpopexy for Vaginal Prolapse: A Randomized Controlled Trial,” Obstetrics & Gynecology, Vol. 118, No. 5, 2011, pp. 1005-1013.
 W. M. White, R. K. Goel, M. A. Swartz, C. Moore, R. R. Rackley and J. H. Kaouk, “Single-Port Laparoscopic Abdominal Sacral Colpopexy: Initial Experience and Comparative Outcomes,” Urology, Vol. 74, No. 5, 2009, pp. 10081012. http://dx.doi.org/10.1016/j.urology.2009.02.086
 F. Daneshgari, J. C. Kefer, C. Moore and J. Kaouk, “Robotic Abdominal Sacrocolpopexy/Sacrouteropexy Repair of Advanced Female Pelvic Organ Prolaspe (POP): Utilizing POP-Quantification-Based Staging and Outcomes,” BJU International, Vol. 100, No. 4, 2007, pp. 875-879.
 E. J. Geller, N. Y. Siddiqui, J. M. Wu and A. G. Visco, “Short-Term Outcomes of Robotic Sacrocolpopexy Compared with Abdominal Sacrocolpopexy,” Obstetrics & Gynecology, Vol. 112, No. 6, 2008, pp. 1201-1206.
 D. S. Elliott, A. E. Krambeck and G. K. Chow, “Long-Term Results of Robotic Assisted Laparoscopic Sacrocolpopexy for the Treatment of High Grade Vaginal Vault Prolapse,” Journal of Urology, Vol. 176, No. 2, 2006, pp. 655659. http://dx.doi.org/10.1016/j.juro.2006.03.040
 A. Gocmen, F. Sanlikan and M. G. Ucar, “Robotic-Assisted Sacrocolpopexy/Sacrocervicopexy Repair of Pelvic Organ Prolapse: Initial Experience,” Archives of Gynecology and Obstetrics, Vol. 285, No. 3, 2011, pp. 683-688.
 A. Wattiez, “Laparoscopic Repair of Vaginal Vault Prolapse,” Current Opinion in Obstetrics & Gynecology, Vol. 15, No. 4, 2003, pp. 315-319.
 H. G. Krause, J. T. W. Goh, K. Sloane, P. Higgs and M. P. Carey, “Laparoscopic Sacral Suture Hysteropexy for Uterine Prolapse,” International Urogynecology Journal, Vol. 17, No. 4, 2006, pp. 378-381.
 B. Feiner, L. Gietelink and C. Maher, “Anterior Vaginal Mesh Sacrospinous Hysteropexy and Posterior Fascial Plication for Anterior Compartment Dominated Uterovaginal Prolapse,” International Urogynecology Journal, Vol. 21, No. 2, 2010, pp. 203-208.
 N. Price, A. Slack and S. R. Jackson, “Laparoscopic Hysteropexy: The Initial Results of a Uterine Suspension Procedure for Uterovaginal Prolapse,” British Journal of Obstetrics & Gynaecology, Vol. 117, No. 1, 2010, pp. 62-68.
 G. B. Busby and J. Broome, “Successful Pregnancy Outcome Following Laparoscopic Sacrohysteropexy for Second Degree Uterine Prolapse,” Gynecological Surgery, Vol. 7, No. 3, 2010, pp. 271-273.
 T. Lee, N. Rosenblum, V. Nitti and B. M. Brucker, “Uterine Sparing Robotic-Assisted Laparoscopic Sacrohysteropexy for Pelvic Organ Prolapse: Safety and Feasibility,” Journal of Endourology/Endourological Society, Vol. 27, No. 9, 2013, pp. 1131-1136.
 O. Melamud, L. Eichel, B. Turbow and A. Shanberg, “Laparoscopic Vesicovaginal Fistula Repair with Robotic Reconstruction,” Urology, Vol. 65, No. 1, 2005, pp. 163-166.
 B. M. Sundaram, G. Kalidasan and A. K. Hemal, “Robotic Repair of Vesicovaginal Fistula: Case Series of Five Patients,” Urology, Vol. 67, No. 5, 2006, pp. 970-973.
 D. Kaushik, R. High, C. J. Clark and C. A. LaGrange, “Malfunction of the Da Vinci Robotic System during RobotAssisted Laparoscopic Prostatectomy: An International Survey,” Journal of Endourology/Endourological Society, Vol. 24, No. 4, 2010, pp. 571-575.
 D. G. Murphy, A. Bjartell, V. Ficarra, M. Graefen, A. Haese, R. Montironi, F. Montorsi, J. W. Moul, G. Novara, G. Sauter, T. Sulser and H. van der Poel, “Downsides of Robot-Assisted Laparoscopic Radical Prostatectomy: Limitations and Complications,” European Urology, Vol. 57, No. 5, 2010, pp. 735-746.
 M. A. Finan and R. P. Rocconi, “Overcoming Technical Challenges with Robotic Surgery in Gynecologic Oncology,” Surgical Endoscopy, Vol. 24, No. 6, 2010, pp. 1256-1260.
 D. C. Friedman, T. S. Lendvay and B. Hannaford, “Instrument Failures for the da Vinci Surgical System: A Food and Drug Administration MAUDE Database Study,” Surgical Endoscopy, Vol. 27, No. 5, 2013, pp. 1503-1508.
 N. C. Buchs, F. Pugin, F. Volonté and P. Morel, “Reliability of Robotic System during General Surgical Procedures in a University Hospital,” American Journal of Surgery, Vol. 207, No. 1, 2013, pp. 84-88.
 J. T. Mills, M. B. Burris, D. J. Warburton, M. R. Conaway, N. S. Schenkman and T. L. Krupski, “Positioning Injuries Associated with Robotic Assisted Urological Surgery,” The Journal of Urology, Vol. 190, No. 2, 2013, pp. 580-584.
 J. DeRosier, E. Stalhandske, J. P. Bagian and T. Nudell, “Using Health Care Failure Mode and Effect Analysis: The VA National Center for Patient Safety’s Prospective Risk Analysis System,” The Joint Commission Journal on Quality Improvement, Vol. 28, No. 5, 2002, pp. 248-267, 209.
 K. Ahmed, N. Khan, M. S. Khan and P. Dasgupta, “Development and Content Validation of a Surgical Safety Checklist for Operating Theatres that Use Robotic Technology,” BJU International, Vol. 111, No. 7, 2013, pp. 11611174. http://dx.doi.org/10.1111/bju.12010
 R. F. Coelho, S. Chauhan, K. J. Palmer, B. Rocco, M. B. Patel and V. R. Patel, “Robotic-Assisted Radical Prostatectomy: A Review of Current Outcomes,” BJU International, Vol. 104, No. 10, 2009, pp. 1428-1435.
 R. F. Coelho, B. Rocco, M. B. Patel, M. A. Orvieto, S. Chauhan, V. Ficarra, S. Melegari, K. J. Palmer and V. R. Patel, “Retropubic, Laparoscopic and Robot-Assisted Radical Prostatectomy: A Critical Review of Outcomes Reported by High-Volume Centers,” Journal of Endourology, Vol. 24, No. 12, 2010, pp. 2003-2015.
 J. H. Rassweiler, M. Hruza, J. Klein, A. S. Goezen and D. Teber, “The Role of Laparoscopic Radical Prostatectomy in the Era of Robotic Surgery,” European Urology Supplements, Vol. 9, No. 3, 2010, pp. 379-387.
 A. M. Okamura, “Haptic Feedback in Robot-Assisted Minimally Invasive Surgery,” Current Opinion in Urology, Vol. 19, No. 1, 2009, pp. 102-107.
 E. C. Lawson, M. J. Curet, B. R. Sanchez, R. Schuster and R. Berguer, “Postural Ergonomics during Robotic and Laparoscopic Gastric Bypass Surgery: A Pilot Project,” Journal of Robotic Surgery, Vol. 1, No. 1, 2007, pp. 6167. http://dx.doi.org/10.1007/s11701-007-0016-z
 R. Craven, J. Franasiak, P. Mosaly and P. A. Gehrig, “Ergonomic Deficits in Robotic Gynecologic Oncology Surgery: A Need for Intervention,” Journal of Minimally Invasive Gynecology, Vol. 20, No. 5, 2013, pp. 648-655.
 M. B. Bokhari, C. B. Patel, D. I. Ramos-Valadez, M. Ragupathi and E. M. Haas, “Learning Curve for Robotic-Assisted Laparoscopic Colorectal Surgery,” Surgical Endoscopy, Vol. 25, No. 3, 2011, pp. 855-860.
 L. G. Seamon, J. M. Fowler, D. L. Richardson, M. J. Carlson, S. Valmadre, G. S. Phillips and D. E. Cohn, “A Detailed Analysis of the Learning Curve: Robotic Hysterectomy and Pelvic-Aortic Lymphadenectomy for Endometrial Cancer,” Gynecologic Oncology, Vol. 114, No. 2, 2009, pp. 162-167.
 J. P. Lenihan Jr., C. Kovanda and U. Seshadri-Kreaden, “What Is the Learning Curve for Robotic Assisted Gynecologic Surgery?” Journal of Minimally Invasive Gynecology, Vol. 15, No. 5, 2008, pp. 589-594.
 M. N. Akl, J. B. Long, D. L. Giles, J. L. Cornella, P. D. Pettit, A. H. Chen and P. M. Magtibay, “Robotic-Assisted Sacrocolpopexy: Technique and Learning Curve,” Surgical Endoscopy, Vol. 23, No. 10, 2009, pp. 2390-2394.
 C. Y. Akladios, D. Dautun, C. Saussine, J. J. Baldauf, C. Mathelin and A. Wattiez, “Laparoscopic Sacrocolpopexy for Female Genital Organ Prolapse: Establishment of a Learning Curve,” European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol. 149, No. 2, 2010, pp. 218-221.
 B. A. Kramer, C. M. Whelan, T. M. Powell and B. F. Schwartz, “Robot-Assisted Laparoscopic Sacrocolpopexy as Management for Pelvic Organ Prolapse,” Journal of Endourology, Vol. 23, No. 4, 2009, pp. 655-658.
 P. Yohannes, P. Rotariu, P. Pinto, A. D. Smith and B. R. Lee, “Comparison of Robotic versus Laparoscopic Skills: Is There a Difference in the Learning Curve?” Urology, Vol. 60, No. 1, 2002, pp. 39-45.
 J. S. Ng, Y. F. Fong, P. S. Tong, E. L. Yong and J. J. Low, “Gynaecologic Robot-Assisted Cancer and Endoscopic Surgery (GRACES) in a Tertiary Referral Centre,” Annals of the Academy of Medicine Singapore, Vol. 40, No. 5, 2011, pp. 208-212.
 J. M. Rodriguez-Paz, M. Kennedy, E. Salas, A. W. Wu, J. B. Sexton, E. A. Hunt and P. J. Pronovost, “Beyond ‘See One, Do One, Teach One’: Toward a Different Training Paradigm,” Quality & Safety in Health Care, Vol. 18, No. 1, 2009, pp. 63-68.
 J. Y. Lee, P. Mucksavage, C. P. Sundaram and E. M. McDougall, “Best Practices for Robotic Surgery Training and Credentialing,” The Journal of Urology, Vol. 185, No. 4, 2011, pp. 1191-1197.
 K. C. Zorn, et al., “Training, Credentialing, Proctoring and Medicolegal Risks of Robotic Urological Surgery: Recommendations of the Society of Urologic Robotic Surgeons,” The Journal of Urology, Vol. 182, No. 3, 2009, pp. 1126-1132.
 N. C. Buchs, F. Pugin, F. Volonté and P. Morel, “Learning Tools and Simulation in Robotic Surgery: State of the Art,” World Journal of Surgery, Vol. 37, No. 12, 2013, pp. 2812-2819. http://dx.doi.org/10.1007/s00268-013-2065-y
 D. D. Thiel, V. R. Patel, T. Larson, A. Lannen and R. J. Leveillee, “Assessment of Robotic Simulation by Trainees in Residency Programs of the Southeastern Section of the American Urologic Association,” Journal of Surgical Education, Vol. 70, No. 5, 2013, pp. 571-577.
 S. Rehman, et al., “Simulation-Based Robot-Assisted Surgical Training: A Health Economic Evaluation,” International Journal of Surgery, Vol. 11, No. 9, 2013, pp. 841846. http://dx.doi.org/10.1016/j.ijsu.2013.08.006
 M. T. Goova, L. A. Hollett, S, T. Tesfay, R. B. Gala, N. Puzziferri, F. J. Kehdy and D. J. Scott, “Implementation, Construct Validity and Benefit of a Proficiency-Based KnotTying and Suturing Curriculum,” Journal of Surgical Education, Vol. 65, No. 4, 2008, pp. 309-315.
 G. Sroka, L. S. Feldman, M. C. Vassiliou, P. A. Kaneva, R. Fayez and G. M. Fried, “Fundamentals of Laparoscopic Surgery Simulator Training to Proficiency Improves Laparoscopic Performance in the Operating Room-A Randomized Controlled Trial,” American Journal of Surgery, Vol. 199, No. 1, 2010, pp. 115-120.
 A. M. Derossis, G. M. Fried, M. Abrahamowicz, H. H. Sigman, J. S. Barkun and J. L. Meakins, “Development of a Model for Training and Evaluation of Laparoscopic Skills,” American Journal of Surgery, Vol. 175, No. 6, 1998, pp. 482-487.
 C. Lyons, D. Goldfarb, S. L. Jones, N. Badhiwala, B. Miles, R. Link and B. J. Dunkin, “Which Skills Really Matter? Proving Face, Content and Construct Validity for a Commercial Robotic Simulator,” Surgical Endoscopy, Vol. 27, No. 6, 2013, pp. 2020-2030.
 G. Dulan, R. V. Rege, D. C. Hogg, K. M. Gilberg-Fisher, N. A. Arain, S. T. Tesfay and D. J. Scott, “ProficiencyBased Training for Robotic Surgery: Construct Validity, Workload and Expert Levels for Nine Inanimate Exercises,” Surgical Endoscopy, Vol. 26, No. 6, 2012, pp. 1516-1521.
 A. M. Jarc and M. Curet, “Construct Validity of Nine New Inanimate Exercises for Robotic Surgeon Training Using a Standardized Setup,” Surgical Endoscopy, 2013.
 D. G. Murphy and C. P. Sundaram, “Comparative Assessment of Three Standardized Robotic Surgery Training Methods,” BJU International, Vol. 112, No. 6, 2013, pp. 713-714.
 H. W. Schreuder, R. Wolswijk, R. P. Zweemer, M. P. Schijven and R. H. Verheijen, “Training and Learning Robotic Surgery, Time for a More Structured Approach: A Systematic Review,” BJOG: An International Journal of Obstetrics and Gynaecology, Vol. 119, No. 2, 2012, pp. 137149.
 C. D. Lallas and J. W. Davis, “Robotic Surgery Training with Commercially Available Simulation Systems in 2011: A Current Review and Practice Pattern Survey from the Society of Urologic Robotic Surgeons,” Journal of Endourology/Endourological Society, Vol. 26, No. 3, 2012, pp. 283-293. http://dx.doi.org/10.1089/end.2011.0371