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Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance
OBJECTIVE: To evaluate the differences in operative time and postoperative complications for total laparoscopic hysterectomy (TLH) performed using conventional laparoendoscopic single-site surgery (LESS) versus a robotic-assisted LESS approach. METHODS: A retrospective study was conducted of all cas...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6924503/ https://www.ncbi.nlm.nih.gov/pubmed/31892789 http://dx.doi.org/10.4293/JSLS.2019.00046 |
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author | Zhang, Yiming Kohn, Jaden R. Guan, Xiaoming |
author_facet | Zhang, Yiming Kohn, Jaden R. Guan, Xiaoming |
author_sort | Zhang, Yiming |
collection | PubMed |
description | OBJECTIVE: To evaluate the differences in operative time and postoperative complications for total laparoscopic hysterectomy (TLH) performed using conventional laparoendoscopic single-site surgery (LESS) versus a robotic-assisted LESS approach. METHODS: A retrospective study was conducted of all cases of conventional LESS TLH (n = 47) and robotic LESS TLH (n = 129) for benign gynecologic conditions performed from November 2014 to October 2017. Patient characteristics, operative time for hysterectomy, estimated blood loss, duration of hospitalization, and short-term postoperative complications were compared using appropriate parametric and nonparametric statistical tests. RESULTS: Conventional LESS TLH cases had a 16.36-minute longer mean operative time for hysterectomy (P < .01). No difference was found in uterine weight, estimated blood loss, hospitalization, or incidence of postoperative complications when LESS TLH was performed with or without robotic assistance. When comparing uterine weight < 100 g, conventional LESS TLH cases had significantly greater operative time than the robotic LESS TLH cases (78.10 ± 23.97 minutes vs. 59.97 ± 35.17 minutes, P < .01). When comparing uterine weight > 100 g, conventional LESS TLH cases again had significantly greater operative time than the robotic LESS TLH cases (98.73 ± 50.16 minutes vs. 80.00 ± 42.97 minutes, P < .01). There was no difference in postoperative complications. CONCLUSION: Robotic single-incision laparoscopy can result in decreased operative time compared to a conventional LESS approach. Robotic-assisted and conventional LESS are similar in rate of postoperative complications, if performed by surgeons with abundant LESS experience. |
format | Online Article Text |
id | pubmed-6924503 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-69245032019-12-31 Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance Zhang, Yiming Kohn, Jaden R. Guan, Xiaoming JSLS Research Article OBJECTIVE: To evaluate the differences in operative time and postoperative complications for total laparoscopic hysterectomy (TLH) performed using conventional laparoendoscopic single-site surgery (LESS) versus a robotic-assisted LESS approach. METHODS: A retrospective study was conducted of all cases of conventional LESS TLH (n = 47) and robotic LESS TLH (n = 129) for benign gynecologic conditions performed from November 2014 to October 2017. Patient characteristics, operative time for hysterectomy, estimated blood loss, duration of hospitalization, and short-term postoperative complications were compared using appropriate parametric and nonparametric statistical tests. RESULTS: Conventional LESS TLH cases had a 16.36-minute longer mean operative time for hysterectomy (P < .01). No difference was found in uterine weight, estimated blood loss, hospitalization, or incidence of postoperative complications when LESS TLH was performed with or without robotic assistance. When comparing uterine weight < 100 g, conventional LESS TLH cases had significantly greater operative time than the robotic LESS TLH cases (78.10 ± 23.97 minutes vs. 59.97 ± 35.17 minutes, P < .01). When comparing uterine weight > 100 g, conventional LESS TLH cases again had significantly greater operative time than the robotic LESS TLH cases (98.73 ± 50.16 minutes vs. 80.00 ± 42.97 minutes, P < .01). There was no difference in postoperative complications. CONCLUSION: Robotic single-incision laparoscopy can result in decreased operative time compared to a conventional LESS approach. Robotic-assisted and conventional LESS are similar in rate of postoperative complications, if performed by surgeons with abundant LESS experience. Society of Laparoendoscopic Surgeons 2019 /pmc/articles/PMC6924503/ /pubmed/31892789 http://dx.doi.org/10.4293/JSLS.2019.00046 Text en © 2019 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Research Article Zhang, Yiming Kohn, Jaden R. Guan, Xiaoming Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance |
title | Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance |
title_full | Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance |
title_fullStr | Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance |
title_full_unstemmed | Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance |
title_short | Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance |
title_sort | single-incision hysterectomy outcomes with and without robotic assistance |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6924503/ https://www.ncbi.nlm.nih.gov/pubmed/31892789 http://dx.doi.org/10.4293/JSLS.2019.00046 |
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