Total Laparoscopic Hysterectomy With and Without Robotic Assistance: A Prospective Controlled Study

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Angeles Martinez-Maestre, Maria (författare)

Total Laparoscopic Hysterectomy With and Without Robotic Assistance : A Prospective Controlled Study

Artikel/kapitelEngelska2014

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2013-07-05
SAGE Publications,2014
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LIBRIS-ID:oai:DiVA.org:uu-228808
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-228808URI
https://doi.org/10.1177/1553350613492023DOI

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Språk:engelska
Sammanfattning på:engelska &language:-1_t

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Background. Hysterectomies are very common, and most of them are still performed abdominally. The minimally invasive alternatives are perceived as difficult by gynecologists. Robotic assistance is thought to facilitate laparoscopic surgery. The aim of this study was to compare the surgical outcomes of robotic-assisted and conventional total laparoscopic hysterectomy. Methods. Patients, candidate to hysterectomy for benign indications, were allocated to either robotic or conventional laparoscopy in a quasi-randomized fashion. Patients were operated following a standardized surgical protocol. Main outcome measures were total surgical time, conversions to laparotomy, blood loss, hospital stay, and complications. Results. Fifty-one patients underwent robotic hysterectomy (mean age = 46.59 years) and 54 conventional laparoscopy (mean age = 50.02 years). The groups were homogeneous in body mass index and uterine weight. Robotic-assisted hysterectomies were significantly shorter (154.63 +/- 36.57 vs 185.65 +/- 42.98 minutes in the control group; P =.0001). Patients in the robotic group also had a significantly smaller reduction in hemoglobin (9.69% +/- 8.88% vs 15.29% +/- 8.39% in controls; P =.0012) and hematocrit (10.56% +/- 8.3% vs 14.89% +/- 8.11%; P =.008). No intraoperative conversions to laparotomy were required. Complication rate was low and similar in both groups. All patients were fully recovered at 1-month follow-up outpatient visit. Conclusions. Significantly lower operative times and blood loss indicate that robotic assistance can facilitate surgery already during the learning curve period. Nevertheless, proficiency can be reached in conventional laparoscopy through training, and the cost-effectiveness of robotic hysterectomy for benign conditions is yet to be confirmed.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
robotic hysterectomy
total laparoscopic hysterectomy
prospective study
operative time
blood loss
controlled study

Biuppslag (personer, institutioner, konferenser, titlar ...)

Gambadauro, PietroUppsala universitet,Obstetrik & gynekologi(Swepub:uu)piega549 (författare)
Gonzalez-Cejudo, Carmen (författare)
Torrejon, Rafael (författare)
Uppsala universitetObstetrik & gynekologi (creator_code:org_t)

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Ingår i:Surgical Innovation: SAGE Publications21:3, s. 250-2551553-35061553-3514

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Av författaren/redakt...: Angeles Martinez ...; Gambadauro, Piet ...; Gonzalez-Cejudo, ...; Torrejon, Rafael

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Reproduktionsmed ...

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