Bedient Carrie E, Magrina Javier F, Noble Brie N, Kho Rosanne M
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mayo Clinic, Scottsdale, AZ 85259, USA.
Am J Obstet Gynecol. 2009 Dec;201(6):566.e1-5. doi: 10.1016/j.ajog.2009.05.049. Epub 2009 Aug 15.
To compare surgical outcomes of patients with symptomatic leiomyomas after robot-assisted ("robotic") or laparoscopic myomectomy.
Retrospective chart review of 81 patients undergoing robotic (n=40) or laparoscopic (n=41) myomectomy. Data included fibroid characteristics (number, weight, location, and pathologic findings), operating time, blood loss, complications, and postoperative hospitalization length.
Patients undergoing laparoscopy had a significantly larger mean uterine size, larger mean size of the largest fibroid, and greater number of fibroids. When adjusted for uterine size and fibroid size and number, no significant differences were noted between robotic vs laparoscopic groups for mean operating time (141 vs 166 minutes), mean blood loss (100 vs 250 mL), intraoperative or postoperative complications (2% vs 20% and 11% vs 17%, respectively), hospital stay more than 2 days (12% vs 23%), readmissions, or symptom resolution.
Short-term surgical outcomes were similar after robotic and laparoscopic myomectomy; long-term outcomes were not assessed.
比较机器人辅助（“机器人”）子宫肌瘤切除术或腹腔镜子宫肌瘤切除术治疗有症状子宫肌瘤患者的手术效果。
对81例行机器人（n = 40）或腹腔镜（n = 41）子宫肌瘤切除术的患者进行回顾性病历审查。数据包括肌瘤特征（数量、重量、位置和病理结果）、手术时间、失血量、并发症及术后住院时间。
接受腹腔镜手术的患者子宫平均大小显著更大，最大肌瘤平均大小更大，肌瘤数量更多。在对子宫大小、肌瘤大小和数量进行校正后，机器人手术组与腹腔镜手术组在平均手术时间（141分钟对166分钟）、平均失血量（100毫升对250毫升）、术中或术后并发症（分别为2%对20%和11%对17%）、住院超过2天（12%对23%）、再次入院或症状缓解方面无显著差异。
机器人辅助和腹腔镜子宫肌瘤切除术后的短期手术效果相似；未评估长期效果。
