Robotic versus standard laparoscopy for the treatment of endometriosis.
OBJECTIVE
To compare robot assisted laparoscopic platform to standard laparoscopy for the treatment of endometriosis.


METHODS
A retrospective cohort controlled study.


METHODS
Tertiary referral center.


METHODS
Seventy-eight reproductive aged women.


METHODS
Robot assisted or standard laparoscopy for the treatment of endometriosis between January 2008 and January 2009.


METHODS
Operative time, estimated blood loss, hospitalization time, intraoperative and postoperative complications.


RESULTS
Seventy-eight patients underwent treatment of endometriosis, 40 by robot assisted laparoscopy and 38 by standard laparoscopy. The two groups were matched for age, body mass index (BMI), stage of endometriosis, and previous abdominal surgery. Mean operative time with the robot was 191 minutes (range 135-295 minutes) compared with 159 minutes (range 85-320 minutes) during standard laparoscopy. There were no significant differences in blood loss, hospitalization, intraoperative or postoperative complications. There were no conversions to laparotomy.


CONCLUSIONS
Both robot assisted laparoscopic and standard laparoscopic treatment of endometriosis have excellent outcomes. The robotic technique required significantly longer surgical and anesthesia time, as well as larger trocars.
Center for Minimally Invasive and Robotic Surgery, Stanford University Medical Center, Palo Alto, California 94304, USA. cnezhat@standford.edu
Camran
C
Nezhat
Michael
M
Lewis
Sumathi
S
Kotikela
Arathi
A
Veeraswamy
Lily
L
Saadat
Babak
B
Hajhosseini
Ceana
C
Nezhat
D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D015331:Cohort Studies; D004715:Endometriosis / Q000534:rehabilitation / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods / Q000534:rehabilitation; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods* / Q000534:rehabilitation; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods / Q000534:rehabilitation; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D012371:Robotics / Q000379:methods*; D014591:Uterine Diseases / Q000534:rehabilitation / Q000601:surgery*; D055815:Young Adult