The Journal of Minimally Invasive Gynecology
Volume 17, Issue 3 , Pages 306-310, May 2010

Robot-assisted Laparoscopic Myomectomy Is an Improvement Over Laparotomy in Women with a Limited Number of Myomas

Presented as a poster at the 35th Scientific Meeting of the Society of Gynecologic Surgeons, New Orleans, Louisiana, March 30–April 1, 2009.

  • Charles J. Ascher-Walsh, MD, MS

      Affiliations

    • Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai School of Medicine, New York, New York
    • Department of Obstetrics and Gynecology, Columbia University Medical Center, New York Presbyterian Hospital, New York, New York
    • Corresponding Author InformationCorresponding author: Charles J. Ascher-Walsh MD, MS, Department of Obstetrics, Gynecology, and Reproductive Science, Mt. Sinai School of Medicine, 1176 Fifth Ave, Box 1170, New York, NY 10029.
    • ,
  • Tracy L. Capes, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai School of Medicine, New York, New York
    • Department of Obstetrics and Gynecology, Columbia University Medical Center, New York Presbyterian Hospital, New York, New York

Received 8 September 2009; accepted 14 January 2010. published online 22 March 2010.

Abstract 

Study Objective

To compare surgical and immediate postoperative results of robot-assisted laparoscopic myomectomy vs myomectomy via laparotomy in patients with 3 myomas or fewer.

Design

Case-control (Canadian Task Force classification II-2).

Setting

University hospital.

Patients

Seventy-five women who had undergone robotic-assisted laparoscopic myomectomy were compared with patients who had undergone myomectomy via laparotomy.

Interventions

Medical records were reviewed for surgical and postoperative variables. Both groups had 3 myomas or fewer confirmed at preoperative magnetic resonance imaging or final pathology report.

Measurements and Main Results

No significant differences were observed between patients insofar as preoperative demographic data. There was a significant increase in mean duration of surgery for robotic-assisted myomectomy. There was a significant decrease in blood loss, change in hematocrit concentration on postoperative day 1, length of stay, number of days to regular diet, and febrile morbidity in robotic-assisted myomectomies. There were no significant differences in operative or postoperative complications.

Conclusion

Although robotic-assisted myomectomy took substantially longer, most of the other variables improved in comparison with similar procedures performed via laparotomy.

Keywords: Robotic assisted laparoscopic myomectomy, Myoma, Minimally invasive surgery

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 The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.

PII: S1553-4650(10)00013-0

doi:10.1016/j.jmig.2010.01.011

The Journal of Minimally Invasive Gynecology
Volume 17, Issue 3 , Pages 306-310, May 2010

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