Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy.
Department of Obstetrics and Gynecology, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, Italy.
Medicina (Kaunas). 2023 Jan 8;59(1):122. doi: 10.3390/medicina59010122.
: Minimally invasive surgery, especially the single-site approach, has demonstrated several advantages in the gynaecological setting. The aim of this study was to compare the surgical outcomes of single-site hysterectomy for benign conditions between the traditional laparoendoscopic approach and robotic surgery.
We consecutively enrolled 278 women between 2012 and 2019 in this multicentre trial. The patients underwent robotic single-site hysterectomy (RSSH) or laparoendoscopic single-site hysterectomy (LESSH) procedures with or without salpingo-oophorectomy for benign indications. Surgical parameters and surgical outcomes were analysed.
There was a statistical difference between the two surgical techniques for total operative time ( = 0.001), set-up time ( = 0.013), and anaesthesia time ( = 0.001). Significant differences in intraoperative blood loss were observed ( = 0.001), but no differences were shown for blood transfusion or intraoperative or postoperative complications in the two groups.
LESSH outperformed RSSH in terms of surgical performance and clinical outcomes, with no differences in adverse events.
： 微创外科，特别是单部位手术，在妇科领域表现出了多种优势。本研究旨在比较传统腹腔镜与机器人手术在良性疾病中单部位子宫切除术的手术效果。
我们连续纳入了 2012 年至 2019 年间的 278 名女性患者，她们因良性指征接受了机器人单部位子宫切除术（RSSH）或腹腔镜单部位子宫切除术（LESSH），同时或不进行输卵管卵巢切除术。分析了手术参数和手术结果。
两种手术技术的总手术时间（ = 0.001）、设置时间（ = 0.013）和麻醉时间（ = 0.001）存在统计学差异。术中出血量也存在显著差异（ = 0.001），但两组间输血、术中或术后并发症无差异。
在手术表现和临床结果方面，LESSH 优于 RSSH，不良事件无差异。
