Soonchunhyang Med Sci.  2018 Jun;24(1):22-27. 10.0000/sms.2018.24.1.22.

Robotic Single-Site Hysterectomy versus Robot-Assisted Multiport Hysterectomy in Benign Gynecologic Diseases: A Retrospective Comparison of Clinical and Surgical Outcomes

Affiliations
  • 1Department of Obstetrics and Gynecology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea. msfeel@hallym.or.kr
  • 2Department of Obstetrics and Gynecology, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.

Abstract


OBJECTIVE
The purpose of this study was to compare clinical and surgical outcomes of robotic single-site hysterectomy (RSSH) and robot-assisted multiport hysterectomy (RH) in benign disease.
METHODS
We retrospectively reviewed the medical records of 38 women who underwent RSSH (N=12) or RH (N=26) for the treatment of benign uterine disease between June 2015 and November 2017.
RESULTS
There were no intergroup differences in parity, comorbidities, and number of previous abdominal surgery. Mean age was older (49.5±5.05 years vs. 44.4±3.54 years, P=0.001) and mean body mass index was higher (27.4±2.47 kg/m2 vs. 25.3±3.12 kg/m2, P=0.045) in RSSH group than RH group. Surgical outcomes, including operative time (165.0 minutes vs. 159.2 minutes, P=0.727), estimated blood loss (115.8±33.15 mL vs. 108.1±56.42 mL, P=0.662), uterus weight (445.9±157.21 g vs. 374.5±197.91 g, P=0.291), postoperative hospital stay (5.4±0.51 days vs. 5.8±1.20 days, P=0.289), postoperative hemoglobin change in day 1 (1.8±0.89 g/dL vs. 1.4±1.53 g/dL, P=0.431) and day 3 (2.1±1.32 g/dL vs. 1.7±1.83 g/dL, P=0.601), and perioperative complications did not significantly differ between two groups. The use of additional analgesics after 6 hours, 24 hours, and 48 hours, and mean NRS score after 6 hours, 24 hours, and 48 hours were not significantly different between two groups.
CONCLUSION
RSSH might be an effective and safe alternative to RH, even if in older and/or obese women with large uteri.

Keyword

Uterus; Hysterectomy; Minimally invasive surgical procedures; Robotic surgical procedures

MeSH Terms

Analgesics
Body Mass Index
Comorbidity
Female
Genital Diseases, Female*
Humans
Hysterectomy*
Length of Stay
Medical Records
Minimally Invasive Surgical Procedures
Operative Time
Parity
Retrospective Studies*
Robotic Surgical Procedures
Uterine Diseases
Uterus
Analgesics
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