Comparison between single-site and multiport robot-assisted myomectomy
| Autor: | Jiheum Paek, Serene S. Srouji, Gaby N. Moawad, Erryn E Tappy, Antonio R. Gargiulo, Paul Tyan, Souzanna Choussein, Daniel Park |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Uterine fibroids Patient demographics Operative Time 030232 urology & nephrology Health Informatics 03 medical and health sciences 0302 clinical medicine Patient satisfaction Postoperative Complications Blood loss Robotic Surgical Procedures Single site Uterine Myomectomy medicine Humans Retrospective Studies Leiomyoma business.industry Task force Uterus Perioperative Middle Aged medicine.disease Surgery 030220 oncology & carcinogenesis Uterine Neoplasms Female business Complication |
| Zdroj: | Journal of robotic surgery. 13(6) |
| ISSN: | 1863-2491 |
| Popis: | Minimizing the number of port incisions during minimally invasive surgery is associated with improved outcomes and patient satisfaction. We designed this work to study the perioperative outcomes of robotic single-site myomectomy (RSSM) in comparison to robotic multiport myomectomy (RMM) in a certain subset of patients. The design of the study is a multicenter retrospective analysis (Canadian Task Force classification III). The setting was three university hospitals. Eighty patients with symptomatic uterine fibroids undergoing robot-assisted single-site myomectomy were selected for the study. These 80 consecutive RSSM patients were matched at the uterine fibroid tumor burden level with 95 consecutive RMM patients performed at the same institutions, by the same surgeons, within a similar time frame. The main outcome measures were estimated blood loss (EBL), operative time, overnight admission, and post-operative complications. Of the 175 women, 95 (54.2%) underwent RMM and 80 (45.7%) underwent RSSM. Single-site vs. multiport patient demographics differed significantly in mean age (39.1 vs. 35.6, p |
| Databáze: | OpenAIRE |
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