title: Comparison of robotic-assisted and conventional laparoscopy in the management of adnexal masses.
abstract: OBJECTIVE
  To compare the outcome of robotic-assisted laparoscopy vs conventional laparoscopy in the management of ovarian masses.
  
  
  METHODS
  Retrospective cohort (Canadian Task Force classification II-3).
  
  
  METHODS
  Academic medical centre in the northeast United States.
  
  
  METHODS
  Retrospective medical record review of 71 consecutive patients with presumed benign ovarian masses.
  
  
  METHODS
  Robotic-assisted laparoscopy in 30 patients with presumed benign ovarian masses was compared with conventional laparoscopy in 41 patients.
  
  
  RESULTS
  Operative outcomes including operative time, estimated blood loss, length of hospital stay, and complications were recorded. Standard statistical analysis was used to compare the outcomes in the 2 groups. Mean (SD) operative time in the robotic group was 1.95 (0.63) hours, which was significantly longer than in the conventional laparoscopic group, 1.28 (0.83) hours (p = .04). Estimated blood loss in the robotic group was 74.52 (56.23) mL, which was not significantly different from that in the conventional laparoscopic group, 55.97 (49.18) mL. There were no significant differences in length of hospital stay between the robotic and conventional laparoscopic groups: 1.20 (0.78) days and 1.48 (0.63). Conversion to laparotomy was not necessary in either group of patients. Intraoperative and postoperative complications were similar between the 2 groups.
  
  
  CONCLUSIONS
  Robotic-assisted laparoscopy is a safe and efficient technique for management of various types of ovarian masses. However, conventional laparoscopy is preferred for management of ovarian masses because of shorter operative time. Prospective studies are needed to evaluate the outcomes of robotic-assisted laparoscopic management of benign and malignant ovarian neoplasms.
authors.affiliation: Department of Obstetrics and Gynecology, Menoufia University, Menufia, Egypt.
authors.forename: N I
authors.initials: NI
authors.lastname: El Khouly
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: R L
authors.initials: RL
authors.lastname: Barr
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: B B
authors.initials: BB
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Kachsiung Medical University, Kaohsiung, Taiwan.
authors.forename: C J
authors.initials: CJ
authors.lastname: Jeng
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: N P
authors.initials: NP
authors.lastname: Nagarsheth
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: D A
authors.initials: DA
authors.lastname: Fishman
authors.affiliation: Department of Obstetrics and Gynecology, St. Luke's-Roosevelt Hospital, New York, New York.
authors.forename: F R
authors.initials: FR
authors.lastname: Nezhat
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: H F
authors.initials: HF
authors.lastname: Gretz
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: Linus.chuang@mssm.edu.
authors.forename: L T
authors.initials: LT
authors.lastname: Chuang
mesh_terms: D000291:Adnexal Diseases / Q000453:epidemiology / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D007902:Length of Stay; D008875:Middle Aged; D010048:Ovarian Cysts / Q000453:epidemiology / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000453:epidemiology / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome
keywords: Laparoscopy; Ovarian mass; Robotic