机器人辅助的腹腔镜子宫切除术
Longer operating times and no clear advantage to robotic-assisted hysterectomy.
Robotic-Assisted vs. Traditional Laparoscopic Hysterectomy for Benign Disease
Longer operating times and no clear advantage to robotic-assisted hysterectomy.
When feasible, vaginal or other minimally invasive approaches to hysterectomy for benign gynecologic conditions are preferred over abdominal surgery, but the question of whether robotic-assisted laparoscopy is superior to traditional laparoscopy remains unsettled. In a randomized trial involving 95 patients with benign disease, two Swiss gynecologic surgeons with experience in laparoscopic surgery assessed operating times, outcomes, and patients' quality of life associated with robotic-assisted versus conventional laparoscopic hysterectomy. For robotic surgeries, net operating time was defined as total time minus robot docking time, and corresponds to time devoted to the surgery itself.
In the robotic group, mean total operating time (106 minutes) and net operating time (96 minutes) were both significantly longer than operating time in the conventional group (75 minutes). Blood loss, complications, postsurgical use of analgesics, and number of days before return to daily activities and work were similar between groups, whereas quality-of-life scores were significantly better in the robotic group. No cases were converted to laparotomy, but one robotic case was completed by traditional laparoscopy.
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