Perioperative outcomes of robotic versus laparoscopic hysterectomy for benign disease.
Journal Article (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
- 2013
Published In
Volume / Issue
- 17 / 1
Start / End Page
- 100 - 106
PubMed ID
- 23743379
Pubmed Central ID
- PMC3662725
International Standard Serial Number (ISSN)
- 1086-8089
Digital Object Identifier (DOI)
- 10.4293/108680812X13517013317914
Language
- eng
Conference Location
- United States