Robotic-assisted laparoscopic myomectomy versus abdominal myomectomy: A comparative analysis of surgical outcomes and costs

Kate Nash, Joe Feinglass*, Charles Zei, Guanning Lu, Biftu Mengesha, Christina Lewicky-Gaupp, Alexander Lin

*Corresponding author for this work

Research output: Contribution to journalArticle

36 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)435-440
Number of pages6
JournalArchives of Gynecology and Obstetrics
Volume285
Issue number2
DOIs
StatePublished - Feb 2012

Keywords

  • Myomectomy
  • Non-invasive surgery
  • Robot-assisted laparoscopic myomectomy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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