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The increasing use of robot-assisted approach for hysterectomy results in decreasing rates of abdominal hysterectomy and traditional laparoscopic hysterectomy.

Publication ,  Journal Article
Smorgick, N; Patzkowsky, KE; Hoffman, MR; Advincula, AP; Song, AH; As-Sanie, S
Published in: Arch Gynecol Obstet
January 2014

PURPOSE: To compare the frequency of minimally invasive surgical approach to hysterectomy between two time periods, during which the use of the robotic technique has rapidly increased. METHODS: This study is a retrospective review of 623 consecutive patients who underwent hysterectomy for benign indications at the Division of Minimally Invasive Gynecologic Surgery via laparoscopic, robotic, laparotomy, mini-laparotomy and vaginal approaches from July 2004 to June 2010. "Early period" refers to the first 311 patients, and "late period" refers to the remaining 312 patients. RESULTS: The characteristics of patients from the early and late periods were comparable in terms of age, BMI and uterine weight. The rates of hysterectomy by laparotomy, traditional laparoscopy, robotic, vaginal, and mini-laparotomy were significantly different between the early and late periods (17.7 to 5.4%, 39.5 to 17.6%, 23.8 to 64.1%, 5.8 to 4.8% and 13.2 to 8%, respectively, P < 0.01), with the overall rates of hysterectomies completed via a minimally invasive approach increasing from 82.3 to 94.6%, respectively (P < 0.01). There were no differences in surgical complications between the two periods. CONCLUSION: Increased utilization of a robotic approach to hysterectomy correlates with decreasing rates of abdominal hysterectomy concurrent with decreasing rates of traditional laparoscopic hysterectomy. This shift in surgical approach to hysterectomy, while beneficial in increasing the rates of minimally invasive approach to hysterectomy, may have significant economic implications due to the higher cost of robotic surgery.

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Published In

Arch Gynecol Obstet

DOI

EISSN

1432-0711

Publication Date

January 2014

Volume

289

Issue

1

Start / End Page

101 / 105

Location

Germany

Related Subject Headings

  • Uterus
  • Robotics
  • Retrospective Studies
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Laparoscopy
  • Hysterectomy
  • Humans
  • Health Care Costs
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Smorgick, N., Patzkowsky, K. E., Hoffman, M. R., Advincula, A. P., Song, A. H., & As-Sanie, S. (2014). The increasing use of robot-assisted approach for hysterectomy results in decreasing rates of abdominal hysterectomy and traditional laparoscopic hysterectomy. Arch Gynecol Obstet, 289(1), 101–105. https://doi.org/10.1007/s00404-013-2948-z
Smorgick, Noam, Kristin E. Patzkowsky, Mark R. Hoffman, Arnold P. Advincula, Arleen H. Song, and Sawsan As-Sanie. “The increasing use of robot-assisted approach for hysterectomy results in decreasing rates of abdominal hysterectomy and traditional laparoscopic hysterectomy.Arch Gynecol Obstet 289, no. 1 (January 2014): 101–5. https://doi.org/10.1007/s00404-013-2948-z.
Smorgick N, Patzkowsky KE, Hoffman MR, Advincula AP, Song AH, As-Sanie S. The increasing use of robot-assisted approach for hysterectomy results in decreasing rates of abdominal hysterectomy and traditional laparoscopic hysterectomy. Arch Gynecol Obstet. 2014 Jan;289(1):101–5.
Smorgick, Noam, et al. “The increasing use of robot-assisted approach for hysterectomy results in decreasing rates of abdominal hysterectomy and traditional laparoscopic hysterectomy.Arch Gynecol Obstet, vol. 289, no. 1, Jan. 2014, pp. 101–05. Pubmed, doi:10.1007/s00404-013-2948-z.
Smorgick N, Patzkowsky KE, Hoffman MR, Advincula AP, Song AH, As-Sanie S. The increasing use of robot-assisted approach for hysterectomy results in decreasing rates of abdominal hysterectomy and traditional laparoscopic hysterectomy. Arch Gynecol Obstet. 2014 Jan;289(1):101–105.
Journal cover image

Published In

Arch Gynecol Obstet

DOI

EISSN

1432-0711

Publication Date

January 2014

Volume

289

Issue

1

Start / End Page

101 / 105

Location

Germany

Related Subject Headings

  • Uterus
  • Robotics
  • Retrospective Studies
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Laparoscopy
  • Hysterectomy
  • Humans
  • Health Care Costs
  • Female