Robotic-assisted laparoscopic myomectomy: the feasibility in single-site system

• DOI: 10.5468/ogs.2019.62.1.56
• Publication Date: 2019-01-15T07:23:19Z
• Authors: Su Hyeon Choi; Soyeon Hong; Miseon Kim; Hyo Sook Bae; Mi Kyoung Kim; Mi-La Kim; Yong Wook Jung; Bo Seong Yun; Seok Ju Seong
• Keywords: Ileus

To evaluate the feasibility of robotic single-site myomectomy (RSSM).Medical records 355 consecutive women who underwent robotic-assisted laparoscopic were retrospectively reviewed. Clinical characteristics compared between multi-site and systems. After 1:1 propensity score matching for total myoma number, largest size, tumor weight (105 in each group), surgical outcomes also 2 systems.A 105 (29.6%) 250 (70.4%) RSSM (RMSM), respectively. was more commonly performed with lower body mass index (21.6 vs. 22.5 kg/m2, P=0.014), without peritoneal adhesions (7.6% 24.8%, P<0.001), less (2.6 4.6, P<0.001) smaller (6.3 7.7 cm, myomas to RMSM. matching, size (P=0.143), number (P=0.671), (P=0.510) not significantly different groups. Although docking time longer group (5.1 3.8 minutes, P=0.005), operation similar RMSM groups (145.9 147.3 P=0.856). Additionally, hemoglobin decrement than (1.4 1.8 g/dL, P=0.009). No complication observed after RSSM, while 1 ileus febrile complications occurred that (0% 2.9%, P=0.246).Although is preferred multiple large real clinical practice, seems be a feasible method complicated cases, associated minimal morbidity.