Single Incision Trans-Umbilical Total Hysterectomy: Robotic or Laparoscopic?
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Karger
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: The aim of this study was to compare the early surgical outcomes in patients who underwent total hysterectomy with laparoendoscopic single-site surgery (LESS-TH) versus robotic single-site total hysterectomy (RSSTH). Methods: Twenty-four patients who underwent RSSTH and thirty-four patients who underwent LESS-TH were retrospectively evaluated. Patient characteristics, operation time, intraoperative data (conversions, complications, estimated blood loss, etc.) and postoperative pain scores were compared. Results: The total operation time was significantly longer in the robotic surgery group, with a time of 98.5 vs. 86 min (p = 0.013), while vaginal closure time was significantly higher in the laparoscopic surgery group (p = 0.011). Intraoperative outcomes and postoperative pain scores were similar in the two groups. Conclusion: RSS-TH helps surgeons to overcome the technical disadvantages of LESS-TH, particularly vaginal cuff closure, ergonomics and instrument crowding and clashing. Early surgical outcomes are comparable in the two groups, and both techniques are safe and feasible. (C) 2015 S. Karger AG, Basel
Açıklama
Anahtar Kelimeler
Hysterectomy, Laparoscopy, Robotic surgery, Single-port laparoscopy
Kaynak
Gynecologic and Obstetric Investigation
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
80
Sayı
2