TY - JOUR
T1 - Robotic-assisted laparoscopic myomectomy versus abdominal myomectomy
T2 - A comparative analysis of surgical outcomes and costs
AU - Nash, Kate
AU - Feinglass, Joe
AU - Zei, Charles
AU - Lu, Guanning
AU - Mengesha, Biftu
AU - Lewicky-Gaupp, Christina
AU - Lin, Alexander
N1 - Funding Information:
The authors would like to thank Markus Zei of Northwestern University Feinberg School of Medicine for assistance with medical records review, Mary Mueller of the Northwestern Memorial Hospital Financial Planning Department for data acquisition, and the faculty and staff of the Research & Education for Academic Achievement (REACH) Network for their support. The authors would also like to thank Northwestern University Clinical and Translational Sciences Institute (NUCATS) for their support in part for grant funding by NIH (grant UL1RR025741) and the Evergreen Invitational Grand Prix Women’s Health Grants Initiative.
PY - 2012/2
Y1 - 2012/2
N2 - Objective To compare clinical and effectiveness outcomes between robotic-assisted laparoscopic myomectomy (RALM) and abdominal myomectomy (AM). Study design Records were reviewed for the first 27 RALM procedures at our institution. Age, BMI, insurance status, race, uterine size, and operative indication were used to select comparable patients who had undergone AM. Clinical and efficiency outcomes were compared stratifying for uterine size, specimen weight, and matched propensity scores. Results IV hydromorphone use was significantly lower for RALM (P <0.01), with no significant differences in blood loss or complications. RALM patients had significantly shorter hospital stays; however, total hospital charges were higher (P <0.0001). This likely reflects longer operating room time (P <0.0001), which was magnified as specimen size increased (P < 0.0001). Conclusion RALM patients require less IV hydromor-phone, have shorter hospital stays, and have generally equivalent clinical outcomes compared with AM patients. Additionally, as specimen size increased, the operative efficiency of RALM decreased compared with AM.
AB - Objective To compare clinical and effectiveness outcomes between robotic-assisted laparoscopic myomectomy (RALM) and abdominal myomectomy (AM). Study design Records were reviewed for the first 27 RALM procedures at our institution. Age, BMI, insurance status, race, uterine size, and operative indication were used to select comparable patients who had undergone AM. Clinical and efficiency outcomes were compared stratifying for uterine size, specimen weight, and matched propensity scores. Results IV hydromorphone use was significantly lower for RALM (P <0.01), with no significant differences in blood loss or complications. RALM patients had significantly shorter hospital stays; however, total hospital charges were higher (P <0.0001). This likely reflects longer operating room time (P <0.0001), which was magnified as specimen size increased (P < 0.0001). Conclusion RALM patients require less IV hydromor-phone, have shorter hospital stays, and have generally equivalent clinical outcomes compared with AM patients. Additionally, as specimen size increased, the operative efficiency of RALM decreased compared with AM.
KW - Myomectomy
KW - Non-invasive surgery
KW - Robot-assisted laparoscopic myomectomy
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U2 - 10.1007/s00404-011-1999-2
DO - 10.1007/s00404-011-1999-2
M3 - Article
C2 - 21779774
AN - SCOPUS:84864068919
SN - 0932-0067
VL - 285
SP - 435
EP - 440
JO - Archives of Gynecology and Obstetrics
JF - Archives of Gynecology and Obstetrics
IS - 2
ER -