title: Postoperative outcomes after robotic versus abdominal myomectomy.
abstract: OBJECTIVE
  Differences in postoperative outcomes comparing robotic-assisted laparoscopic myomectomy (RALM) with abdominal myomectomy (AM) have rarely been reported. The objective of this study was to compare surgical, quality-of-life, and residual fibroid outcomes after RALM and AM.
  
  
  METHODS
  Consecutive patients who underwent RALM (n = 16) were compared with AM patients (n = 23) presenting with a uterine size of <20 weeks. Study patients participated in a telephone interview at 6 weeks and underwent a no-cost ultrasonographic examination at 12 weeks after surgery to obtain quality-of-life and residual fibroid outcomes. Medical records were reviewed to obtain surgical outcomes.
  
  
  RESULTS
  Longer operative times (261.1 minutes vs 124.8 minutes, P < .001) and a 3-fold unfavorable difference in operative efficiency (73.7 g vs 253.0 g of specimen removed per hour, P < .05) were observed with RALM compared with AM. Patients undergoing RALM had shorter lengths of hospital stay (1.5 days vs 2.7 days, P < .001). Reduction of patient symptoms and overall satisfaction were equal. RALM patients were more likely to be back to work within 1 month (85.7% vs 45.0%, P < .05). Residual fibroid volume in the RALM group was 5 times greater than that in the AM group (17.3 cm(3) vs 3.4 cm(3), P < .05).
  
  
  CONCLUSIONS
  RALM and AM were equally efficacious in improving patient symptoms. Although operative times were significantly longer with RALM, patients had a quicker recovery, demonstrated by shortened lengths of stay and less time before returning to work. However, greater residual fibroid burden was observed with RALM when measured 12 weeks after surgery.
authors.affiliation: Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
authors.forename: Leanne
authors.initials: L
authors.lastname: Griffin
authors.forename: Joe
authors.initials: J
authors.lastname: Feinglass
authors.forename: Ariane
authors.initials: A
authors.lastname: Garrett
authors.forename: Anne
authors.initials: A
authors.lastname: Henson
authors.forename: Leeber
authors.initials: L
authors.lastname: Cohen
authors.forename: Angela
authors.initials: A
authors.lastname: Chaudhari
authors.forename: Alexander
authors.initials: A
authors.lastname: Lin
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D007902:Length of Stay / Q000706:statistics & numerical data; D061646:Operative Time; D011446:Prospective Studies; D011788:Quality of Life; D012371:Robotics / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography; D063186:Uterine Myomectomy / Q000379:methods*; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*
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