%0 Journal Article
%T ROBOTIC ASSISTED LAPAROSCOPIC MYOMECTOMY VERSUS CLASSICAL MYOMECTOMY - A COMPARATIVE STUDY
%A Sidonia Maria S£¿ceanu
%A V. £¿urlin
%A Cristina Angelescu
%A £¿t.P£¿tra£¿cu
%J Jurnalul de Chirurgie
%D 2012
%I University of Medicine and Pharmacy, Iasi
%X AIM:The objective of this study was to perform a comparative analysis between robotic assisted laparoscopic and open approach, for patients with uterine leiomyoma, in terms of feasibility and quality of operation (duration of surgery, number and dimensions of extracted miomas, intraoperative blood loss). MATERIAL AND METHODS: We conducted a retrospective study on 166 patients diagnosed with uterine fibroids who have received conservative surgery ¨C myomectomy over a period of 3 years (2008-2010). 38 cases were treated by robotic assisted laparoscopic myomectomy (RALM) and 128 patients underwent open myomectomy. RESULTS: BMI was higher among patients with RALM, 27.68 vs 22.63, respectively. The average time of interventions was similar, 111.8 min for RALM. Time for myomectomy itself was 50.39 min and 22.37 min for the uterine suture. Open myomectomy took an average of 103 min, 21.05 min for myomectomies itself, and 21.05 min for the uterine suture. In RALM, a higher number of myomas were extracted, but with a smaller volume, 2.26 myomas with a volume of 57 mm3 vs 1.8 myomas with a volume of 156 mm3 for open myomectomy. Blood loss was significantly lower during robotic-assisted laparoscopic myomectomy compared to open myomectomy, 140 mL vs 267 mL. Patients treated by RALM had a shorter length of stay 2.05 versus 6 days. Postoperative complications in RALM were insignificant. In open miomectomy we noted: a case of uncontrollable intraoperative bleeding that required the use the Gelaspon, 4 cases of postoperative febrile syndrome and one case of urinary infection. CONCLUSIONS: RALM is feasible and allows superior results compared to open myomectomy, with less blood loss and shorter postoperative hospital stay.
%K UTERINE LEIOMYOMA
%K MYOMECTOMY
%K ROBOTIC SURGERY
%K DA VINCI SURGICAL SYSTEM
%U http://www.jurnaluldechirurgie.ro/jurnal/docs/jurnal412/art%204%202012%20nr%204.pdf