Multicenter analysis comparing robotic, open, laparoscopic, and vaginal hysterectomies performed by high-volume surgeons for benign indications
Autor: | Devin M. Garza, Marc L. Winter, Jerry L. Rozeboom, Peter C. Lim, John T. Crane, Eric J. English, Richard W. Farnam |
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Rok vydání: | 2016 |
Předmět: |
Laparoscopic hysterectomy
Adult medicine.medical_specialty medicine.medical_treatment Vaginal hysterectomy Hysterectomy 03 medical and health sciences Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures Robotic-assisted hysterectomy Abdomen medicine Humans Intraoperative Complications Laparoscopy Retrospective Studies 030219 obstetrics & reproductive medicine Abdominal hysterectomy medicine.diagnostic_test business.industry General surgery Obstetrics and Gynecology Retrospective cohort study General Medicine Perioperative Middle Aged da Vinci United States Surgery Treatment Outcome surgical procedures operative medicine.anatomical_structure Premier database 030220 oncology & carcinogenesis Vagina Cohort Female business |
Zdroj: | International Journal of Gynecology & Obstetrics. 133:359-364 |
ISSN: | 0020-7292 |
DOI: | 10.1016/j.ijgo.2015.11.010 |
Popis: | ObjectiveTo compare perioperative outcomes between robotic-assisted benign hysterectomies and abdominal, vaginal, and laparoscopic hysterectomies when performed by high-volume surgeons.MethodsA multicenter data analysis compared 30-day outcomes from consecutive robotic-assisted hysterectomies performed by high-volume surgeons (≥60 prior procedures) at nine centers with records retrieved from the Premier Perspective database for abdominal, vaginal, and laparoscopic hysterectomies performed by high-volume gynecologic surgeons. Data on benign hysterectomy disorders from January 1, 2012 to September 30, 2013 were included.ResultsData from 2300 robotic-assisted, 9745 abdominal, 8121 vaginal, and 11 952 laparoscopic hysterectomies were included. The robotic-assisted patient cohort had a significantly higher rate of adhesive disease compared with the vaginal (P250g) than the abdominal (P |
Databáze: | OpenAIRE |
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