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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 
 Min Young Chang  ;  Sun Young Kim  ;  Min-A Kim  ;  Bo Wook Kim  ;  Hanbyoul Cho  ;  SiHyun Cho  ;  Doo Byung Chay  ;  Jae Hoon Kim  ;  Young Tae Kim  ;  Byung Seok Lee  ;  Kyung Seo 
 Korean Journal of Obstetrics and Gynecology, Vol.54(12) : 784-793, 2011 
Journal Title
Korean Journal of Obstetrics and Gynecology
Issue Date
Robotic surgery ; Laparoscopic surgery ; Myomectomy
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.
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1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Bo Wook(김보욱)
Kim, Seon Young(김선영)
Kim, Young Tae(김영태) ORCID logo https://orcid.org/0000-0002-7347-1052
Kim, Jae Hoon(김재훈) ORCID logo https://orcid.org/0000-0001-6599-7065
Seo, Kyung(서경)
Lee, Byung Seok(이병석) ORCID logo https://orcid.org/0000-0001-6001-2079
Cho, Si Hyun(조시현) ORCID logo https://orcid.org/0000-0003-2718-6645
Cho, Hanbyoul(조한별) ORCID logo https://orcid.org/0000-0002-6177-1648
Chay, Doo Byung(채두병) ORCID logo https://orcid.org/0000-0002-0648-4021
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