Özbaşlı Esra, Güngör Mete
Department of Obstetrics and Gynecology, Acıbadem Mehmet Ali Aydınlar University Faculty of Medicine, İstanbul, Turkey
J Turk Ger Gynecol Assoc. 2021 Dec 6;22(4):312-318. doi: 10.4274/jtgga.galenos.2021.2021.0049. Epub 2021 Oct 12.
To compare the perioperative results of myomectomy performed by robotic surgery (RM), laparoscopic surgery (LM), and open/abdominal surgery (OM).
We included 227 patients who underwent either robotic (n=66), laparoscopic (n=88), or abdominal (n=73) myomectomy at our hospital between 2016 and 2020. Retrospective medical records, including fibroid characteristics, demographic findings, and surgical outcomes, were compared.
The RM group had a significantly lower body mass index and significantly larger uterine size, myoma diameter, and myoma weight than the other groups. However, the OM group had the highest number of myoma. Moreover, the RM group had higher operative time and blood loss but significantly lower maximum visual analog scale values than the OM and LM groups. Hospitalization duration was significantly different among the groups. The rate of 1-day hospitalization was 56.2%, 64.8%, and 37.9% in the OM, LM, and RM groups, respectively. Furthermore, blood transfusion requirement was significantly higher in the OM group (12.3%) than in the LM and RM groups (0.0% and 4.5%, respectively).
Minimally invasive myomectomy may be preferable, particularly for women of reproductive age. In women with large uterine size and myoma, robot-assisted LM is recommended.
比较机器人手术（RM）、腹腔镜手术（LM）和开腹/腹部手术（OM）行子宫肌瘤切除术的围手术期结果。
我们纳入了2016年至2020年间在我院接受机器人手术（n = 66）、腹腔镜手术（n = 88）或腹部手术（n = 73）子宫肌瘤切除术的227例患者。比较回顾性医疗记录，包括肌瘤特征、人口统计学结果和手术结果。
RM组的体重指数显著低于其他组，子宫大小、肌瘤直径和肌瘤重量显著大于其他组。然而，OM组的肌瘤数量最多。此外，RM组的手术时间和失血量较高，但最大视觉模拟量表值显著低于OM组和LM组。各组的住院时间有显著差异。OM组、LM组和RM组的1天住院率分别为56.2%、64.8%和37.9%。此外，OM组的输血需求率（12.3%）显著高于LM组和RM组（分别为0.0%和4.5%）。
微创子宫肌瘤切除术可能更可取，特别是对于育龄期女性。对于子宫体积大且有肌瘤的女性，建议采用机器人辅助腹腔镜手术。
