Robot-assisted laparoscopic myomectomy is an improvement over laparotomy in women with a limited number of myomas.
J Minim Invasive Gynecol
; 17(3): 306-10, 2010.
Article
em En
| MEDLINE
| ID: mdl-20303834
ABSTRACT
STUDY OBJECTIVE:
To compare surgical and immediate postoperative results of robot-assisted laparoscopic myomectomy vs myomectomy via laparotomy in patients with 3 myomas or fewer.DESIGN:
Case-control (Canadian Task Force classification II-2).SETTING:
University hospital. PATIENTS Seventy-five women who had undergone robotic-assisted laparoscopic myomectomy were compared with patients who had undergone myomectomy via laparotomy.INTERVENTIONS:
Medical records were reviewed for surgical and postoperative variables. Both groups had 3 myomas or fewer confirmed at preoperative magnetic resonance imaging or final pathology report. MEASUREMENTS AND MAINRESULTS:
No significant differences were observed between patients insofar as preoperative demographic data. There was a significant increase in mean duration of surgery for robotic-assisted myomectomy. There was a significant decrease in blood loss, change in hematocrit concentration on postoperative day 1, length of stay, number of days to regular diet, and febrile morbidity in robotic-assisted myomectomies. There were no significant differences in operative or postoperative complications.CONCLUSION:
Although robotic-assisted myomectomy took substantially longer, most of the other variables improved in comparison with similar procedures performed via laparotomy.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Uterinas
/
Laparoscopia
/
Cirurgia Assistida por Computador
/
Laparotomia
/
Leiomioma
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Minim Invasive Gynecol
Ano de publicação:
2010
Tipo de documento:
Article