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The feasibility of robot-assisted laparoscopic myomectomy: Compared with standard laparoscopic and abdominal myomectomy

Other Titles
 로봇을 이용한 자궁근종절제술의 유용성: 복강경 그리고 개복수술과 비교 
Authors
 Min Young Chang  ;  Sun Young Kim  ;  Kyung Seo  ;  Byung Seok Lee  ;  Young Tae Kim  ;  Jae Hoon Kim  ;  Doo Byung Chay  ;  SiHyun Cho  ;  Hanbyoul Cho  ;  Bo Wook Kim  ;  Min-A Kim 
Citation
 Korean Journal of Obstetrics and Gynecology, Vol.54(12) : 784-793, 2011 
Journal Title
 Korean Journal of Obstetrics and Gynecology 
ISSN
 1738-5628 
Issue Date
2011
Abstract
OBJECTIVE: To compare robotic myomectomy to laparoscopic and open myomectomy. METHODS: We retrospectively analyzed medical records of patients undergoing myomectomy between January 2007 and March 2011. Patients were stratified into three groups by surgical approach. Clinical features and surgical outcomes were compared. RESULTS: From a total of 206 myomectomies, 31 (15%) were robotic, 70 (34%) were laparoscopic, and 105 (51%) were open. Heavier myomas were removed in the robotic group (164.3 +/- 193.7 g) than in the laparoscopic (117.3 +/- 132.7 g) group but were lighter than the myomas removed in the open group (284.7 +/- 265.6 g) (P = 0.002; open vs. laparoscopic). Greater blood loss was reported in the open and robotic groups than in the laparoscopic group with a mean blood loss of 456.6 +/- 288.5 mL, 380.6 +/- 303.8 mL, and 198.5 +/- 137.6 mL, respectively (P < 0.001; open vs. laparoscopic, P = 0.004; robot vs. laparoscopic). Actual surgical time was 272.5 +/- 116.8 minutes in the robotic, 172.1 +/- 49.4 minutes in the laparoscopic (P < 0.001; robot vs. laparoscopic), and 152.3 +/- 45.3 minutes in the open group (P < 0.001; robot vs. open). Patients in the robotic group had shorter mean length of hospital stay of 4.1 +/- 1.4 days as compared to 5.5 +/- 1.3 days in the open (P < 0.001; robot vs. open) but there were no significant differences between the robotic and laparoscopic groups (3.8 +/- 1.0 days). CONCLUSION: Laparoscopic group is associated with decreased blood loss but significantly smaller myomas when compared with the other two groups. However, robotic myomectomy does not fall behind open myomectomy in terms of myoma size or surgical outcomes. In conclusion, robotic myomectomy can replace the role of open myomectomy.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95142
DOI
10.5468/KJOG.2011.54.12.784
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학교실)
Yonsei Authors
김보욱(Kim, Bo Wook) ; 김선영(Kim, Seon Young) ; 김영태(Kim, Young Tae) ; 김재훈(Kim, Jae Hoon) ; 서경(Seo, Kyung) ; 이병석(Lee, Byung Seok) ; 조시현(Cho, Si Hyun) ; 조한별(Cho, Han Byoul) ; 채두병(Chay, Doo Byung)
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