Int J Med Robot - Robot-assisted hysterectomy vs total laparoscopic hysterectomy: a comparison of short-term surgical outcomes.

Tópicos

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Resumo

CKGROUND: The objective of the study was to compare the short-term outcomes of robot-assisted hysterectomy with laparoscopic hysterectomy.METHODS: This study compared 60 patients who underwent robot-assisted hysterectomy (RAH) with 60 patients who underwent laparoscopic hysterectomy (LH).RESULTS: The mean ages of the patients in the RAH and LH groups were 51.52?6.97 and 50.68?8.92 years, respectively. The mean operative times for the RAH and LH groups were 108.12?34.65 and 90.67?25.20 min, respectively (p=0.002). None of the cases in the RAH group required conversion to laparotomy; the rate of conversion to open laparotomy in the LH group was 1.6%. The complication rate among patients who underwent RAH was 8.3% compared with 6.6% in the laparoscopic cohort.CONCLUSIONS: Robot-assisted hysterectomy is feasible and safe, resulting in similar surgical results when compared with traditional laparoscopic hysterectomy. It appears that, in the hands of a skilled laparoscopic surgeon, robot-assisted hysterectomy is not superior to the laparoscopic approach.

Resumo Limpo

ckground object studi compar shortterm outcom robotassist hysterectomi laparoscop hysterectomymethod studi compar patient underw robotassist hysterectomi rah patient underw laparoscop hysterectomi lhresult mean age patient rah lh group year respect mean oper time rah lh group min respect p none case rah group requir convers laparotomi rate convers open laparotomi lh group complic rate among patient underw rah compar laparoscop cohortconclus robotassist hysterectomi feasibl safe result similar surgic result compar tradit laparoscop hysterectomi appear hand skill laparoscop surgeon robotassist hysterectomi superior laparoscop approach

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