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Comparative Study
. 2013 Jan-Mar;17(1):100-6.
doi: 10.4293/108680812X13517013317914.

Perioperative outcomes of robotic versus laparoscopic hysterectomy for benign disease

Kristin E Patzkowsky  1 , Sawsan As-Sanie, Noam Smorgick, Arleen H Song, Arnold P Advincula
Affiliations
Comparative Study

Perioperative outcomes of robotic versus laparoscopic hysterectomy for benign disease

Kristin E Patzkowsky et al. JSLS. 2013 Jan-Mar.

Abstract

Background and objectives: We compared the perioperative outcomes of hysterectomy performed by robotic (RH) versus laparoscopic (LH) routes for benign indications using the Dindo-Clavien scale for classification of the surgical complications.

Methods: Retrospective chart review of all patients who underwent robotic (n=288) and laparoscopic (n=257) hysterectomies by minimally invasive surgeons at the University of Michigan from March 2001 until June 2010.

Results: Age, body mass index, operative time, and estimated blood loss were not statistically different between groups. The RH subgroup had a larger uterine weight (LH 186.4±130.6 g vs RH 234.9±193.9 g, P=.001), higher prevalence of severe adhesions (13.2% vs 23.3%, respectively, P=.003), and stage III-IV endometriosis (4.7% vs 15.3%, respectively, P<.05). There were no differences in the rates of Dindo-Clavien grade I, grade II, and grade III surgical complications between the RH and LH groups (9.7%, 13.2%, and 3.1%, respectively, in the RH group vs 6.2%, 9.3%, and 5.8%, respectively, in the LH group, P>.05). However, the rates of urinary tract infection were higher in the RH group (LH 2.7% vs RH 6.9%, P=.02), whereas the conversion to laparotomy rate was higher in the LH group (LH 6.2% vs RH 1.7%, P=.007).

Conclusions: Perioperative outcomes for laparoscopic and robotic hysterectomy for benign indications appear to be equivalent.

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Figures

Figure 1.
Figure 1.
Primary indications for hysterectomy in the laparoscopic (LH) and robotic (RH) cohorts. CPP = chronic pelvic pain. “Others” refers to adnexal masses, endometrial hyperplasia, and cervical dysplasia.
See this image and copyright information in PMC

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