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

Künye