title: Comparison of the initial surgical experience with robotic and laparoscopic myomectomy.
abstract: OBJECTIVE
  To compare the initial surgical outcomes of robotic and laparoscopic myomectomy in patients with symptomatic uterine myomas.
  
  
  METHODS
  Retrospective chart review of 86 patients undergoing robotic (RM) (n = 43) or laparoscopic (LM) (n = 43) myomectomy. Data included fibroid characteristics (number, weight, location) layers of uterine reconstruction, operating time, blood loss, complications, and postoperative hospital stay.
  
  
  RESULTS
  No significant differences were noted between RM and LM for fibroid number and weight and mean operating time, although the number of patients receiving at least a double-layer uterine reconstruction was higher in RM than LM. Blood loss was higher after LM, while no differences resulted in hospital stay.
  
  
  CONCLUSIONS
  RM may have some additional advantages compared with LM in terms of bleeding and uterine suturing without compromising operation duration, at least when surgeons were at the beginning of their experience of endoscopic treatment of symptomatic uterine myomas.
authors.affiliation: Division of Obstetrics and Gynecology, University of Pisa, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Pluchino
authors.forename: Piero
authors.initials: P
authors.lastname: Litta
authors.forename: Letizia
authors.initials: L
authors.lastname: Freschi
authors.forename: Marinella
authors.initials: M
authors.lastname: Russo
authors.forename: Giovanna
authors.initials: G
authors.lastname: Simi
authors.forename: Anna N
authors.initials: AN
authors.lastname: Santoro
authors.forename: Stefano
authors.initials: S
authors.lastname: Angioni
authors.forename: Angiolo
authors.initials: A
authors.lastname: Gadducci
authors.forename: Vito
authors.initials: V
authors.lastname: Cela
mesh_terms: D016063:Blood Loss, Surgical; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D007902:Length of Stay; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000379:methods*; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*
keywords: myomectomy; robotics