Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 22 aprilie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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ROBOTIC ASSISTED LAPAROSCOPIC MYOMECTOMY VERSUS CLASSICAL MYOMECTOMY
- A COMPARATIVE STUDY -
Sidonia Maria Săceanu 1, V. Şurlin 2, Cristina Angelescu 3, Șt.Pătrașcu 2,
I. Georgescu 2, A. Genazzani 4
1) Department for Gynecology and Obstetrics, Emergency Clinic Hospital Craiova
2) First Clinic of Surgery, Emergency Clinic Hospital Craiova
3) Department for Medical Genetics, University of Medicine and Pharmacy Craiova
4) Cisanello Clinic of Obstetrics and Gynecology, Pisa, Italy
Jurnalul de chirurgie (Iaşi). 2012; 8(4): 347-352
Full text:
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Abstract:

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 – 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.

KEY WORDS: UTERINE LEIOMYOMA; MYOMECTOMY; ROBOTIC SURGERY; DA VINCI SURGICAL SYSTEM

HOW TO CITE: Săceanu SM, Surlin V, Angelescu C, Pătrașcu S, Georgescu I, Genazzani A. Robotic assisted laparoscopic myomectomy versus classical myomectomy. A comparative study. Jurnalul de chirurgie (Iaşi). 2012; 8(4): 347-352.


: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.