Department of Obstetrics and Gynecology, Ümraniye Education and Research Hospital, Adem Yavuz Cad. No 1, Kadın Hastalıkları ve Doğum Kliniği, Ümraniye, Istanbul, Turkey.
Arch Gynecol Obstet. 2013 Jan;287(1):91-6. doi: 10.1007/s00404-012-2530-0. Epub 2012 Aug 30.
This study aimed at comparing short-term outcomes of patients who underwent robotic-assisted laparoscopic myomectomy and laparoscopic myomectomy.
From January 2008 to August 2010, prospective data including 15 consecutive patients who underwent robotic-assisted myomectomy (RALM) with the da Vinci surgical system were recorded. These cases were compared with a retrospective cohort of 23 patients who underwent laparoscopic myomectomy (LM). Patient demographics, fibroid characteristics and peri-operative data (operative time, anesthesia time, set-up time, console time for robotic cohort, Estimated blood loss (EBL), length of hospital stay, conversion to laparotomy and operative complications were collected in both groups.
Mean operative time for the robotic group was 138.73 ± 39.51 min compared with 140.57 ± 38.17 min for the laparoscopy group (p = 0.887). No significant differences were noted between RALM versus LM for hospital stay (1.67 ± 0.58 vs. 1.87 ± 0.67 days, p = 0.369) and EBL (101.33 ± 39.84 vs. 119.78 ± 43.70 ml, p = 0.549). The numbers, size and location of myomas removed for two groups were similar. None of the cases in both groups required conversion to laparotomy. There were no significant intra-operative and post-operative complications in either group.
RALM appears to provide the same surgical outcomes when compared with traditional laparoscopic myomectomy.
本研究旨在比较行达芬奇机器人辅助腹腔镜子宫肌瘤剔除术（RALM）和腹腔镜子宫肌瘤剔除术（LM）的患者短期结局。
2008 年 1 月至 2010 年 8 月，前瞻性记录了 15 例行达芬奇机器人手术系统辅助下 RALM 的连续患者数据。将这些病例与 23 例行 LM 的回顾性队列进行比较。收集两组患者的人口统计学资料、肌瘤特征和围手术期数据（手术时间、麻醉时间、设置时间、机器人组控制台时间、估计出血量（EBL）、住院时间、中转开腹率和手术并发症）。
机器人组的平均手术时间为 138.73 ± 39.51 min，腹腔镜组为 140.57 ± 38.17 min（p = 0.887）。RALM 与 LM 组在住院时间（1.67 ± 0.58 与 1.87 ± 0.67 天，p = 0.369）和 EBL（101.33 ± 39.84 与 119.78 ± 43.70 ml，p = 0.549）方面无显著差异。两组患者切除的肌瘤数量、大小和位置相似。两组均无病例需要中转开腹。两组术中及术后均无严重并发症。
与传统腹腔镜子宫肌瘤剔除术相比，RALM 似乎具有相同的手术效果。
