title: Comparison of robot-assisted laparoscopic myomectomy and traditional laparoscopic myomectomy.
abstract: OBJECTIVE
  The benefit of robot-assisted laparoscopic myomectomy (RALM) over traditional laparoscopic myomectomy (TLM) remains undetermined. The aim of this study was to reveal any potential advantage of RALM over TLM.
  
  
  METHODS
  Between June 2010 and October 2011, all women presenting with symptomatic uterine myomas were enrolled in this study. Perioperative variables were compared between these two groups. The patients recruited in this study were allocated into the two groups based on their financial considerations.
  
  
  RESULTS
  A total of 42 patients received RALM (n = 20) or TLM (n = 22) for symptomatic uterine myomas. The operation time was longer in the RALM group; but the total abdominal drainage amount on postoperative day 1 was significantly less in the RALM group than the TLM group. Multivariate analysis revealed that the RALM procedure (coefficient = 79.1, P < 0.001), number of myomas (coefficient = 15.4, P = 0.002), and the presence of a cervical myoma (coefficient = 54.9, P = 0.01) were independent factors affecting operation time; the maximum myoma diameter was the only factor affecting blood loss (coefficient = 113.4, P = 0.003). However, the RALM procedure was the only factor affecting the amount of abdominal drainage on postoperative day 1 (coefficient = -86.3, P = 0.006).
  
  
  CONCLUSIONS
  Although RALM is a longer operation than TLM, it might result in less postoperative abdominal drainage than TLM and help alleviate short-term morbidity.
authors: Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei, Taiwan. smhsiao2@gmail.com
authors: Sheng-Mou
authors: SM
authors: Hsiao
authors: Ho-Hsiung
authors: HH
authors: Lin
authors: Fu-Shaing
authors: FS
authors: Peng
authors: Pei-Jung
authors: PJ
authors: Jen
authors: Chin-Fen
authors: CF
authors: Hsiao
authors: Fung-Chao
authors: FC
authors: Tu
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D012371:Robotics; D012720:Severity of Illness Index; D013624:Taiwan; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000379:methods*; D014599:Uterus / Q000601:surgery*