|
|
ObjectiveTo compare surgical outcomes of patients with symptomatic leiomyomas after robot-assisted (“robotic”) or laparoscopic myomectomy. Study DesignRetrospective chart review of 81 patients undergoing robotic (n = 40) or laparoscopic (n = 41) myomectomy. Data included fibroid characteristics (number, weight, location, and pathologic findings), operating time, blood loss, complications, and postoperative hospitalization length. ResultsPatients undergoing laparoscopy had a significantly larger mean uterine size, larger mean size of the largest fibroid, and greater number of fibroids. When adjusted for uterine size and fibroid size and number, no significant differences were noted between robotic vs laparoscopic groups for mean operating time (141 vs 166 minutes), mean blood loss (100 vs 250 mL), intraoperative or postoperative complications (2% vs 20% and 11% vs 17%, respectively), hospital stay more than 2 days (12% vs 23%), readmissions, or symptom resolution. ConclusionShort-term surgical outcomes were similar after robotic and laparoscopic myomectomy; long-term outcomes were not assessed. a Division of Gynecologic Oncology, Mayo Clinic, Scottsdale, AZ b Division of Biostatistics, Mayo Clinic, Scottsdale, AZ c Department of Obstetrics and Gynecology, Mayo Clinic, Scottsdale, AZ
Dr Bedient is now with the Department of Obstetrics and Gynecology, MetroHealth System, Cleveland, OH. Conflict of interest: Drs Magrina and Kho have received a speaking honorarium from Intuitive Surgical, Inc. (Sunnyvale, CA). The other authors have no conflict of interest to declare. Cite this article as: Bedient CE, Magrina JF, Noble BN, et al. Comparison of robotic and laparoscopic myomectomy. Am J Obstet Gynecol 2009;201:566.e1-5. PII: S0002-9378(09)00560-2 doi:10.1016/j.ajog.2009.05.049 © 2009 Mosby, Inc. All rights reserved.
| |||||||||||||||||||||||
ABSTRACT
Comparison of robotic and laparoscopic myomectomy
Comparison of robotic and laparoscopic myomectomy: Bedient et al
