Comparison of Robotic and Laparoscopic Hysterectomy for the Large Uterus

Abstract

BACKGROUND AND OBJECTIVES: We compared the outcome of robotic hysterectomy (RH) with laparoscopic hysterectomy (LH) for large uteri (≥16 weeks). METHODS: This was a retrospective review over 5 years of 165 women (RH, 46; LH, 119). Demographic data, conversion, hemoglobin drop, indication, operating time, postoperative stay, and intra-operative strategies (adhesiolysis, myomectomy) were recorded. RESULTS: < .001). Open conversion rate was 4.3% (RH) and 10.9% (LH) but not significant. CONCLUSION: A higher body mass index, more adhesiolysis, and difficult bladder dissection imply a more challenging nature of women who underwent RH. Despite this, RH was shown to be feasible and safe with a lower blood loss.