Jeong Soo Young, Kim Kyoungseon, Ryu Ji Won, Cha Jieum, Park Sung Taek, Park Sung Ho
Department of Obstetrics and Gynecology, Kangnam Sacred-Heart Hospital, Hallym University Medical Center, Hallym University College of Medicine, Seoul 07441, Republic of Korea.
J Pers Med. 2022 Dec 10;12(12):2042. doi: 10.3390/jpm12122042.
Hysterectomy is commonly performed for benign gynecological diseases. Minimally invasive surgical approaches offer several advantages. Unfortunately, few studies have compared the outcomes of different types of minimally invasive surgeries. Therefore, this study aimed to compare the surgical outcomes of robotic hysterectomy (RH) and conventional laparoscopic hysterectomy (CLH) in benign gynecologic diseases. We performed a retrospective cohort study at a single center between January 2014 and July 2022. A total of 397 patients (RH: 197 and CLH: 200) who underwent minimally invasive hysterectomy for benign diseases with uterine size exceeding 250 g were enrolled, and factors related to the surgical outcomes were compared. The median age was 46 (range, 35-74) years, and the median uterine weight was 400 (range, 250-2720) g. There were no significant differences between the two groups regarding age, body mass index, uterine weight, hospital stay, estimated blood loss, or operating time. Intraoperative and postoperative complication rates were not significantly different between the two groups. RH was not inferior to CLH in terms of perioperative and immediate postoperative outcomes in our study.
子宫切除术常用于治疗良性妇科疾病。微创外科手术方法具有诸多优势。遗憾的是，很少有研究比较不同类型微创手术的结果。因此，本研究旨在比较机器人辅助子宫切除术（RH）和传统腹腔镜子宫切除术（CLH）治疗良性妇科疾病的手术效果。我们于2014年1月至2022年7月在单一中心进行了一项回顾性队列研究。共纳入397例因良性疾病接受微创子宫切除术且子宫重量超过250g的患者（RH组197例，CLH组200例），并比较了与手术效果相关的因素。中位年龄为46岁（范围35 - 74岁），中位子宫重量为400g（范围250 - 2720g）。两组在年龄、体重指数、子宫重量、住院时间、估计失血量或手术时间方面无显著差异。两组术中及术后并发症发生率无显著差异。在我们的研究中，RH在围手术期和术后即刻结果方面并不逊色于CLH。
