ROBOTICS AND ARTIFICIAL INTELLIGENCE (AI) IN GYNECOLOGIC SURGERY: PRACTICAL BENEFITS IN OVERT LAPAROSCOPY (NARRATIVE REVIEW 2021–2025)

Introduction and Objectives: Gynecological surgery has undergone rapid development in recent years, from traditional laparoscopy to surgical robots increasingly supported by artificial intelligence. Robotic surgery is already standard in many gynecological oncology centers. However, there is considerable debate about its real advantages over laparoscopy, both from the perspective of patients, surgeons, and payers. Brief Description of the State of Knowledge: The aim of the following narrative was to critically review the comparative practical benefits of both robotic surgery and laparoscopy in operative gynecology, with particular emphasis on clinical trial results, patient safety, operator ergonomics, learning curve, costs, and the role of artificial intelligence. Methodology: A narrative literature review was conducted. PubMed/MEDLINE and Google Scholar were searched from 2021 to 2025 using English-language search terms such as: "robotic gynecologic surgery," "robot-assisted hysterectomy," "laparoscopic hysterectomy comparison," "endometrial cancer staging robotic," "deep infiltrating endometriosis robotic," "robotic sacrocolpopexy," "ergonomics surgeon laparoscopy," "learning curve robotic gynecology," "artificial intelligence gynecologic surgery," "cost analysis robotic hysterectomy," and "Poland robotic surgery NFZ financing."