Int J Med Robot - Comparison of the initial surgical experience with robotic and laparoscopic myomectomy.

Tópicos

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Resumo

JECTIVE: To compare the initial surgical outcomes of robotic and laparoscopic myomectomy in patients with symptomatic uterine myomas.STUDY DESIGN: Retrospective chart review of 86 patients undergoing robotic (RM) (n=43) or laparoscopic (LM) (n=43) myomectomy. Data included fibroid characteristics (number, weight, location) layers of uterine reconstruction, operating time, blood loss, complications, and postoperative hospital stay.RESULTS: No significant differences were noted between RM and LM for fibroid number and weight and mean operating time, although the number of patients receiving at least a double-layer uterine reconstruction was higher in RM than LM. Blood loss was higher after LM, while no differences resulted in hospital stay.CONCLUSION: RM may have some additional advantages compared with LM in terms of bleeding and uterine suturing without compromising operation duration, at least when surgeons were at the beginning of their experience of endoscopic treatment of symptomatic uterine myomas.

Resumo Limpo

jectiv compar initi surgic outcom robot laparoscop myomectomi patient symptomat uterin myomasstudi design retrospect chart review patient undergo robot rm n laparoscop lm n myomectomi data includ fibroid characterist number weight locat layer uterin reconstruct oper time blood loss complic postop hospit stayresult signific differ note rm lm fibroid number weight mean oper time although number patient receiv least doublelay uterin reconstruct higher rm lm blood loss higher lm differ result hospit stayconclus rm may addit advantag compar lm term bleed uterin sutur without compromis oper durat least surgeon begin experi endoscop treatment symptomat uterin myoma

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