Won Seyeon, Choi Su Hyeon, Lee Nara, Shim So Hyun, Kim Mi Kyoung, Kim Mi-La, Jung Yong Wook, Yun Bo Seong, Seong Seok Ju
Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul 06135, Korea.
Department of Obstetrics and Gynecology, CHA Ilsan Medical Center, CHA University School of Medicine, Goyang 10414, Korea.
J Pers Med. 2022 Jun 3;12(6):928. doi: 10.3390/jpm12060928.
Background: Robotic single-site plus two port myomectomy (RSTM) was designed to reduce the number of incision sites while retaining the advantage of conventional robotic multi-port myomectomy (CRM). This study aimed to explicate RSTM and compare surgical outcomes between it and CRM. Methods: The medical records of 146 patients who had undergone RSTM and 173 who had undergone CRM were reviewed. The surgical outcomes between them were compared by propensity score matching (PSM) analysis. Results: The PSM analysis showed no statistically significant inter-group differences in patient characteristics. With regard to surgical outcomes, the RSTM group enjoyed shorter operative time (148.30 ± 44.8 vs. 162.3 ± 47.4 min, p = 0.011), less hemoglobin decrement (1.8 ± 0.9 vs. 2.3 ± 1.0 g/dL, p < 0.001), and shorter duration of hospital stay (5.4 ± 0.7 vs. 5.8 ± 0.7 days, p < 0.001). Conclusions: RSTM was associated with shorter operative time relative to CRM. Further prospective studies are needed in order to more fully investigate the advantages of RSTM.
机器人单孔加双孔子宫肌瘤切除术（RSTM）旨在减少切口数量，同时保留传统机器人多孔子宫肌瘤切除术（CRM）的优势。本研究旨在阐述RSTM并比较其与CRM的手术效果。方法：回顾了146例行RSTM患者和173例行CRM患者的病历。通过倾向评分匹配（PSM）分析比较两者的手术效果。结果：PSM分析显示两组患者特征在统计学上无显著差异。在手术效果方面，RSTM组手术时间更短（148.30±44.8对162.3±47.4分钟，p = 0.011），血红蛋白下降更少（1.8±0.9对2.3±1.0 g/dL，p < 0.001），住院时间更短（5.4±0.7对5.8±0.7天，p < 0.001）。结论：相对于CRM，RSTM手术时间更短。需要进一步的前瞻性研究以更全面地探究RSTM的优势。
