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Robotic single‐site versus laparo‐endoscopic single‐site surgery for adnexal tumours: a propensity score‐matching analysis
Author(s) -
Paek Jiheum,
Lee JungDong,
Kong Tae Wook,
Chang SukJoon,
Ryu HeeSug
Publication year - 2016
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.1707
Subject(s) - propensity score matching , medicine , rss , perioperative , surgery , port (circuit theory) , robotic surgery , complication , computer science , electrical engineering , engineering , operating system
Background The aim of this study was to compare the surgical outcomes of robotic single‐site (RSS) and laparo‐endoscopic single‐site (LESS) surgery for adnexal tumours and evaluate the feasibility of RSS surgery. Methods RSS surgery was performed using the da Vinci Single‐Site® surgical platform and LESS surgery using a single multi‐channel port system. Surgical outcomes were compared between RSS ( n = 20) and LESS ( n = 228) after 1:4 propensity score matching. Results After the propensity score matching, the RSS group showed longer operating times than the LESS (91.1 vs 66.1 min; p = 0.001). While the LESS showed 1.3% of major complication rates, the RSS group had no perioperative complication. For the LESS, 2.5% of patients needed additional port insertion. Conclusions The RSS surgery for adnexal tumours could be performed safely without complications or additional port insertion. Although it showed a longer operating time, further experience and technical refinements will continue to improve operative results. Copyright © 2015 John Wiley & Sons, Ltd.