Comparison of robotic and laparoscopic myomectomy

Carrie E. Bedient, Javier F. Magrina, Brie N. Noble, Rosanne M. Kho

Research output: Contribution to journalArticle

118 Scopus citations

Abstract

Objective: To compare surgical outcomes of patients with symptomatic leiomyomas after robot-assisted ("robotic") or laparoscopic myomectomy. Study Design: Retrospective 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. Results: Patients 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. Conclusion: Short-term surgical outcomes were similar after robotic and laparoscopic myomectomy; long-term outcomes were not assessed.

Original languageEnglish (US)
Pages (from-to)566.e1-566.e5
JournalAmerican journal of obstetrics and gynecology
Volume201
Issue number6
DOIs
StatePublished - Dec 2009

Keywords

  • laparoscopy
  • myomectomy
  • robot-assisted surgery

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Bedient, C. E., Magrina, J. F., Noble, B. N., & Kho, R. M. (2009). Comparison of robotic and laparoscopic myomectomy. American journal of obstetrics and gynecology, 201(6), 566.e1-566.e5. https://doi.org/10.1016/j.ajog.2009.05.049