September 27th, 2020

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Clinical Outcomes of Robotic Versus Open Myomectomy Performed by One Surgeon: A Total of 350 Patients
Authors:  Laura Eisman, M.D., Kristin Van Heertum, M.D., Erin Masaba, M.D., Stephen Somkuti, M.D., Ph.D., Jennifer Nichols, D.O., and Larry Barmat, M.D.
  OBJECTIVE: To compare clinical outcomes of robotic versus open myomectomy.

STUDY DESIGN: This is a retrospective cohort study. A total of 350 patients underwent myomectomy by a single surgeon at a community hospital from 2001 to 2015: 128 open and 222 robotic-assisted. Data were gathered from hospital records. Operating room (OR) time, estimated blood loss (EBL), body mass index (BMI), fibroid number/weight, surgical complications, and length of stay (LOS) were compared.

RESULTS: BMI was similar between the 2 groups. OR time was significantly longer for robotic myomectomy despite fibroid number and weight being significantly lower in the robotic group. EBL was significantly lower and LOS was significantly shorter in the robotic group. In addition, there were significantly fewer complications in the robotic group.

CONCLUSION: Robotic-assisted myomectomy enables patients to undergo an outpatient procedure rather than a major abdominal surgery. While there was an increase in OR time when compared to open myomectomy, there was also significantly less blood loss, a shorter LOS, and fewer complications in the robotic group. This method appears to be an excellent alternative to open myomectomy.
Keywords:  gynecologic surgery, gynecologic surgical procedures, infertility, leiomyoma, myoma, robotic surgical procedures, robotics, uterine myomectomy
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