Postoperative outcomes after robotic versus abdominal myomectomy

Leanne Griffin, Joe Feinglass, Ariane Garrett, Anne Henson, Leeber Cohen, Angela Chaudhari, Alexander Lin*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Background and Objectives: 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 cm3 vs 3.4 cm3, P <.05). Conclusion: 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.

Original languageEnglish (US)
Pages (from-to)407-413
Number of pages7
JournalJournal of the Society of Laparoendoscopic Surgeons
Volume17
Issue number3
DOIs
StatePublished - 2013

Keywords

  • Abdominal myomec-tomy
  • Myoma
  • Myomectomy
  • Noninvasive surgery
  • Robot-assisted laparoscopic myomectomy

ASJC Scopus subject areas

  • Surgery

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