Perioperative outcomes of robotic versus laparoscopic hysterectomy for benign disease.

Published

Journal Article

BACKGROUND AND OBJECTIVES: We compared the perioperative outcomes of hysterectomy performed by robotic (RH) versus laparoscopic (LH) routes for benign indications using the Dindo-Clavien scale for classification of the surgical complications. METHODS: Retrospective chart review of all patients who underwent robotic (n=288) and laparoscopic (n=257) hysterectomies by minimally invasive surgeons at the University of Michigan from March 2001 until June 2010. RESULTS: Age, body mass index, operative time, and estimated blood loss were not statistically different between groups. The RH subgroup had a larger uterine weight (LH 186.4±130.6 g vs RH 234.9±193.9 g, P=.001), higher prevalence of severe adhesions (13.2% vs 23.3%, respectively, P=.003), and stage III-IV endometriosis (4.7% vs 15.3%, respectively, P<.05). There were no differences in the rates of Dindo-Clavien grade I, grade II, and grade III surgical complications between the RH and LH groups (9.7%, 13.2%, and 3.1%, respectively, in the RH group vs 6.2%, 9.3%, and 5.8%, respectively, in the LH group, P>.05). However, the rates of urinary tract infection were higher in the RH group (LH 2.7% vs RH 6.9%, P=.02), whereas the conversion to laparotomy rate was higher in the LH group (LH 6.2% vs RH 1.7%, P=.007). CONCLUSIONS: Perioperative outcomes for laparoscopic and robotic hysterectomy for benign indications appear to be equivalent.

Full Text

Duke Authors

Cited Authors

  • Patzkowsky, KE; As-Sanie, S; Smorgick, N; Song, AH; Advincula, AP

Published Date

  • January 2013

Published In

Volume / Issue

  • 17 / 1

Start / End Page

  • 100 - 106

PubMed ID

  • 23743379

Pubmed Central ID

  • 23743379

International Standard Serial Number (ISSN)

  • 1086-8089

Digital Object Identifier (DOI)

  • 10.4293/108680812X13517013317914

Language

  • eng

Conference Location

  • United States