#308 : Comparative Outcomes of Robot-Assisted and Conventional Laparoscopic Ovarian Cystectomy for Endometrioma: Evaluating Ovarian Reserve, Recurrence, and Pregnancy Success

Autor: Hyunji Choi, Haerin Paik, Yeon Hee Hong, Seul Ki Kim, Jung Ryeol Lee
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Fertility & Reproduction, Vol 05, Iss 04, Pp 533-534 (2023)
Druh dokumentu: article
ISSN: 26613182
2661-3174
2661-3182
DOI: 10.1142/S266131822374290X
Popis: Background and Aims: Laparoscopic ovarian cystectomy has been the mainstay of surgical methods for endometriosis. Recently, robot-assisted ovarian cystectomy using Da VinciⓇ Xi™surgical system has been successfully introduced into clinical practice and provides specific technical advantages. We aimed to compare robot-assisted ovarian cystectomy (RAOC) and laparoscopic ovarian cystectomy (LOC) in terms of ovarian reserve, recurrence, and pregnancy outcomes. Method: This was a retrospective study in a single tertiary hospital. Patients who underwent RAOC from January 2018 to December 2022 were identified. Propensity score matching was performed on a 1:1 ratio based on age, initial anti-Müllerian hormone (AMH), and BMI with those who underwent LOC during the same period. Results: Patients in the RAOC group (n=43) and LOC (n=43) had similar age (33.2±6.2 vs. 32.8±6.6 years), BMI (21.2±2.9 vs. 21.2±3.0 kg/m2) and AMH (3.25±2.73 vs 3.40±2.36 ng/mL). The cyst was unilateral in 25 cases all for both groups (58.1%) and bilateral in 18 cases (41.9%). The number of ovarian cysts and diameter of the largest cyst were comparable (1.7±0.9 vs. 1.5±0.7; 5.9±2.4 vs. 6.3±1.7 cm, respectively). RAOC had a longer operation time (106±31 vs. 59±20 mins, [Formula: see text]
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