Robotic adnexectomy compared with laparoscopy for adnexal mass

Javier F. Magrina, Mercedes Espada, Raquel Munoz, Brie N. Noble, Rosanne M C Kho

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

OBJECTIVE: To evaluate whether the application of robotic technology in the performance of adnexectomy resulted in benefits for the patient when compared with patients operated by laparoscopy. METHODS: Evaluation of 85 patients undergoing robotic adnexectomy and comparison with a group of 91 patients operated on by laparoscopy during the same period of time and by the same surgeons. Patients were compared by age, body mass index (BMI), American Society of Anesthesiologists (ASA) physical status classification, indications, unilateral compared with bilateral adnexectomy, adhesions, size or weight or both of the adnexal mass, and previous abdominal or pelvic surgery. Univariate and multivariate analysis was used to determine factors favorable to each technique. Comparison between the groups was evaluated using the Fisher exact test from a one-way analysis of variance. RESULTS: The robotic group had an increased number of obese (BMI 30 or more) and higher anesthetic risk (ASA classification 2 and 3) patients as compared with laparoscopy patients. The mean operating time was 12 minutes longer in the robotic group (P=.01). The mean blood loss (80 mL robotic, 71 mL laparoscopic), length of hospital stay (0.15 days robotic, 0.28 days laparoscopic), intraoperative complications (1% robotic, 2% laparoscopic), and postoperative complications (12% robotic, 11% laparoscopic) were similar in both groups. CONCLUSION: Laparoscopy and robotics provided similar results for the performance of adnexectomy, with similar blood loss, intraoperative and postoperative complications, and length of hospital stay. Robotics mean operating time was 12 minutes longer.

Original languageEnglish (US)
Pages (from-to)581-584
Number of pages4
JournalObstetrics and Gynecology
Volume114
Issue number3
DOIs
StatePublished - Sep 2009

Fingerprint

Robotics
Laparoscopy
Length of Stay
Intraoperative Complications
Body Mass Index
Anesthetics
Analysis of Variance
Multivariate Analysis
Technology
Weights and Measures

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Magrina, J. F., Espada, M., Munoz, R., Noble, B. N., & Kho, R. M. C. (2009). Robotic adnexectomy compared with laparoscopy for adnexal mass. Obstetrics and Gynecology, 114(3), 581-584. https://doi.org/10.1097/AOG.0b013e3181b05d97

Robotic adnexectomy compared with laparoscopy for adnexal mass. / Magrina, Javier F.; Espada, Mercedes; Munoz, Raquel; Noble, Brie N.; Kho, Rosanne M C.

In: Obstetrics and Gynecology, Vol. 114, No. 3, 09.2009, p. 581-584.

Research output: Contribution to journalArticle

Magrina, JF, Espada, M, Munoz, R, Noble, BN & Kho, RMC 2009, 'Robotic adnexectomy compared with laparoscopy for adnexal mass', Obstetrics and Gynecology, vol. 114, no. 3, pp. 581-584. https://doi.org/10.1097/AOG.0b013e3181b05d97
Magrina, Javier F. ; Espada, Mercedes ; Munoz, Raquel ; Noble, Brie N. ; Kho, Rosanne M C. / Robotic adnexectomy compared with laparoscopy for adnexal mass. In: Obstetrics and Gynecology. 2009 ; Vol. 114, No. 3. pp. 581-584.
@article{8a331e9aa0db455da53f13d8ee07be84,
title = "Robotic adnexectomy compared with laparoscopy for adnexal mass",
abstract = "OBJECTIVE: To evaluate whether the application of robotic technology in the performance of adnexectomy resulted in benefits for the patient when compared with patients operated by laparoscopy. METHODS: Evaluation of 85 patients undergoing robotic adnexectomy and comparison with a group of 91 patients operated on by laparoscopy during the same period of time and by the same surgeons. Patients were compared by age, body mass index (BMI), American Society of Anesthesiologists (ASA) physical status classification, indications, unilateral compared with bilateral adnexectomy, adhesions, size or weight or both of the adnexal mass, and previous abdominal or pelvic surgery. Univariate and multivariate analysis was used to determine factors favorable to each technique. Comparison between the groups was evaluated using the Fisher exact test from a one-way analysis of variance. RESULTS: The robotic group had an increased number of obese (BMI 30 or more) and higher anesthetic risk (ASA classification 2 and 3) patients as compared with laparoscopy patients. The mean operating time was 12 minutes longer in the robotic group (P=.01). The mean blood loss (80 mL robotic, 71 mL laparoscopic), length of hospital stay (0.15 days robotic, 0.28 days laparoscopic), intraoperative complications (1{\%} robotic, 2{\%} laparoscopic), and postoperative complications (12{\%} robotic, 11{\%} laparoscopic) were similar in both groups. CONCLUSION: Laparoscopy and robotics provided similar results for the performance of adnexectomy, with similar blood loss, intraoperative and postoperative complications, and length of hospital stay. Robotics mean operating time was 12 minutes longer.",
author = "Magrina, {Javier F.} and Mercedes Espada and Raquel Munoz and Noble, {Brie N.} and Kho, {Rosanne M C}",
year = "2009",
month = "9",
doi = "10.1097/AOG.0b013e3181b05d97",
language = "English (US)",
volume = "114",
pages = "581--584",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Robotic adnexectomy compared with laparoscopy for adnexal mass

AU - Magrina, Javier F.

AU - Espada, Mercedes

AU - Munoz, Raquel

AU - Noble, Brie N.

AU - Kho, Rosanne M C

PY - 2009/9

Y1 - 2009/9

N2 - OBJECTIVE: To evaluate whether the application of robotic technology in the performance of adnexectomy resulted in benefits for the patient when compared with patients operated by laparoscopy. METHODS: Evaluation of 85 patients undergoing robotic adnexectomy and comparison with a group of 91 patients operated on by laparoscopy during the same period of time and by the same surgeons. Patients were compared by age, body mass index (BMI), American Society of Anesthesiologists (ASA) physical status classification, indications, unilateral compared with bilateral adnexectomy, adhesions, size or weight or both of the adnexal mass, and previous abdominal or pelvic surgery. Univariate and multivariate analysis was used to determine factors favorable to each technique. Comparison between the groups was evaluated using the Fisher exact test from a one-way analysis of variance. RESULTS: The robotic group had an increased number of obese (BMI 30 or more) and higher anesthetic risk (ASA classification 2 and 3) patients as compared with laparoscopy patients. The mean operating time was 12 minutes longer in the robotic group (P=.01). The mean blood loss (80 mL robotic, 71 mL laparoscopic), length of hospital stay (0.15 days robotic, 0.28 days laparoscopic), intraoperative complications (1% robotic, 2% laparoscopic), and postoperative complications (12% robotic, 11% laparoscopic) were similar in both groups. CONCLUSION: Laparoscopy and robotics provided similar results for the performance of adnexectomy, with similar blood loss, intraoperative and postoperative complications, and length of hospital stay. Robotics mean operating time was 12 minutes longer.

AB - OBJECTIVE: To evaluate whether the application of robotic technology in the performance of adnexectomy resulted in benefits for the patient when compared with patients operated by laparoscopy. METHODS: Evaluation of 85 patients undergoing robotic adnexectomy and comparison with a group of 91 patients operated on by laparoscopy during the same period of time and by the same surgeons. Patients were compared by age, body mass index (BMI), American Society of Anesthesiologists (ASA) physical status classification, indications, unilateral compared with bilateral adnexectomy, adhesions, size or weight or both of the adnexal mass, and previous abdominal or pelvic surgery. Univariate and multivariate analysis was used to determine factors favorable to each technique. Comparison between the groups was evaluated using the Fisher exact test from a one-way analysis of variance. RESULTS: The robotic group had an increased number of obese (BMI 30 or more) and higher anesthetic risk (ASA classification 2 and 3) patients as compared with laparoscopy patients. The mean operating time was 12 minutes longer in the robotic group (P=.01). The mean blood loss (80 mL robotic, 71 mL laparoscopic), length of hospital stay (0.15 days robotic, 0.28 days laparoscopic), intraoperative complications (1% robotic, 2% laparoscopic), and postoperative complications (12% robotic, 11% laparoscopic) were similar in both groups. CONCLUSION: Laparoscopy and robotics provided similar results for the performance of adnexectomy, with similar blood loss, intraoperative and postoperative complications, and length of hospital stay. Robotics mean operating time was 12 minutes longer.

UR - http://www.scopus.com/inward/record.url?scp=69549118499&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=69549118499&partnerID=8YFLogxK

U2 - 10.1097/AOG.0b013e3181b05d97

DO - 10.1097/AOG.0b013e3181b05d97

M3 - Article

C2 - 19701038

AN - SCOPUS:69549118499

VL - 114

SP - 581

EP - 584

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 3

ER -