Robot-Assisted Laparoscopic Myomectomy Versus Abdominal Myomectomy A Retrospective Comparison of Short-Term Surgical Outcomes.

Abstract

OBJECTIVE: To compare intraoperative and postopera- tive surgical outcomes of robotic versus abdominal myo- mectomy. STUDY DESIGN: A retrospective chart review was performed using electronic medical records from Janu- ary 1, 2008-December 31, 2011, with 2008 being the first year that robotic- assisted myomectomy was performed at our institution. Intraoperative outcome data and postoperative complica- tions were reviewed as well as length of hospital stay. RESULTS: A total of 214 abdominal myomectomy cases and 165 robotic-assisted laparoscopic cases were available for review. Total operating time in minutes.was significantly longer for the robotic-assisted cases (236 ± 96) versus the abdom- inal cases (110 ± 46). Total myoma weight in grams removed was significantly greater in the abdominal myo- mectomy cases (391 ± 518) versus the robot-assisted- cases (229 ± 253). Length of stay in days was longer for abdominal cases as compared to robotic (3.3 ±1.2 vs. 1.6 ± 1). Estimated blood loss in milliliters was similar between abdominal and robotic cases (258 ± 335' vs. 241± 370). CONCLUSION: Robotic-assisted and abdominal myo- mectomies have similar surgical outcomes. However, the longer total operating time for robotic-assisted myomec- tomies is a drawback which may not be completely offset by the benefit of a shorter hospital stay.