Comparison of robotic and laparoscopic myomectomy.
OBJECTIVE
To compare surgical outcomes of patients with symptomatic leiomyomas after robot-assisted ("robotic") or laparoscopic myomectomy.


METHODS
Retrospective chart review of 81 patients undergoing robotic (n=40) or laparoscopic (n=41) myomectomy. Data included fibroid characteristics (number, weight, location, and pathologic findings), operating time, blood loss, complications, and postoperative hospitalization length.


RESULTS
Patients undergoing laparoscopy had a significantly larger mean uterine size, larger mean size of the largest fibroid, and greater number of fibroids. When adjusted for uterine size and fibroid size and number, no significant differences were noted between robotic vs laparoscopic groups for mean operating time (141 vs 166 minutes), mean blood loss (100 vs 250 mL), intraoperative or postoperative complications (2% vs 20% and 11% vs 17%, respectively), hospital stay more than 2 days (12% vs 23%), readmissions, or symptom resolution.


CONCLUSIONS
Short-term surgical outcomes were similar after robotic and laparoscopic myomectomy; long-term outcomes were not assessed.
Bedient
Carrie E
CE
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mayo Clinic, Scottsdale, AZ 85259, USA.
Magrina
Javier F
JF
Noble
Brie N
BN
Kho
Rosanne M
RM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D012371:Robotics; D014594:Uterine Neoplasms / Q000601:surgery*; D055815:Young Adult