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Robot‐assisted hysterectomy vs total laparoscopic hysterectomy: a comparison of short‐term surgical outcomes
Author(s) -
Göçmen Ahmet,
Şanlıkan Fatih,
Uçar Mustafa Gazi
Publication year - 2012
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1463
Subject(s) - laparoscopic hysterectomy , medicine , laparotomy , hysterectomy , surgery , laparoscopy , general surgery
Background The objective of the study was to compare the short‐term outcomes of robot‐assisted hysterectomy with laparoscopic hysterectomy. Methods This study compared 60 patients who underwent robot‐assisted hysterectomy (RAH) with 60 patients who underwent laparoscopic hysterectomy (LH). Results The mean ages of the patients in the RAH and LH groups were 51.52 ± 6.97 and 50.68 ± 8.92 years, respectively. The mean operative times for the RAH and LH groups were 108.12 ± 34.65 and 90.67 ± 25.20 min, respectively ( p = 0.002). None of the cases in the RAH group required conversion to laparotomy; the rate of conversion to open laparotomy in the LH group was 1.6%. The complication rate among patients who underwent RAH was 8.3% compared with 6.6% in the laparoscopic cohort. Conclusions Robot‐assisted hysterectomy is feasible and safe, resulting in similar surgical results when compared with traditional laparoscopic hysterectomy. It appears that, in the hands of a skilled laparoscopic surgeon, robot‐assisted hysterectomy is not superior to the laparoscopic approach. Copyright © 2012 John Wiley & Sons, Ltd.