Robotic-assisted laparoscopic myomectomy compared with standard laparoscopic myomectomy--a retrospective matched control study.
OBJECTIVE
Compare robotic-assisted laparoscopic myomectomy (RALM) to a matched control standard laparoscopic myomectomy (LM).


METHODS
A retrospective matched control study.


METHODS
Private practice setting.


METHODS
Premenopausal and postmenopausal women who underwent either robotic-assisted or standard laparoscopic myomectomy.


METHODS
None.


METHODS
Retrospective chart review was performed. Cases of laparoscopic robotic-assisted myomectomies were compared with a matched control group of standard LM. Comparisons were based on Fisher's exact, Mann-Whitney, and exact chi-square tests.


RESULTS
Between January 2006 and August 2007, 15 consecutive RALMs were performed at our institution, compared with 35 matched control standard LMs. The two groups were matched by age, body mass index, parity, previous abdominopelvic surgery, size, number, and location of myomas. Mean surgical time for the RALM was 234 minutes (range 140-445) compared with 203 minutes (range 95-330) for standard LMs. Blood loss, hospitalization time, and postoperative complications were not significantly different.


CONCLUSIONS
The RALM required a significant prolonged surgical time over LM. It appears that in the hands of a skilled laparoscopic surgeon, the RALM does not offer any major advantage. This technology, however, offers exciting potential applications while learning endoscopic surgery. Further studies are warranted to asses the utility of RALM for general gynecologic surgeons.
Nezhat
Camran
C
Center for Special Minimally Invasive Surgery, Stanford University Medical Center, Palo Alto, California 94304, USA. cnezhat@stanford.edu
Lavie
Ofer
O
Hsu
Senzan
S
Watson
James
J
Barnett
Ofra
O
Lemyre
Madeleine
M
D000328:Adult; D016063:Blood Loss, Surgical; D016022:Case-Control Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D007902:Length of Stay; D008875:Middle Aged; D009215:Myometrium / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000209:etiology; D012189:Retrospective Studies; D012371:Robotics; D025321:Surgery, Computer-Assisted; D013997:Time Factors; D016896:Treatment Outcome