Robotic-assisted total laparoscopic hysterectomy versus conventional total laparoscopic hysterectomy

Abraham R Shashoua, Diana Gill, Stephen R Locher, Abraham R Shashoua, Diana Gill, Stephen R Locher

Abstract

Objectives: To compare patient characteristics, operative variables, and outcomes of 24 patients who underwent robotic-assisted total laparoscopic hysterectomy (TLH) with 44 patients who underwent conventional TLH. We retrospectively reviewed the charts of 44 patients with TLH and 24 patients with robotic TLH.

Results: Robotic TLH was associated with a shorter hospital stay (1.0 vs 1.4 days, P=0.011) and a significant decrease in narcotic use (1.2 vs 5.0 units, P=0.002). EBL and droP in hemoglobin were not significantly different. The operative time was significantly longer in patients undergoing robotic TLH (142.2 vs 122.1 minutes, P=0.027). However, only need for laparoscopic morcellation, BMI, and uterine weight, not robotic use, were independently associated with increased operative times.

Conclusions: Robotic hysterectomy can be performed safely with comparable operative times to those of conventional laparoscopic hysterectomy. Postoperative measures were improved over measures for conventional laparoscopy.

Figures

Figure 1.
Figure 1.
Operative times (min) with increasing body mass index (BMI).
Figure 2.
Figure 2.
Operative times (min) with increasing uterine weight in grams.

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Source: PubMed

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