Robot‐assisted hysterectomy vs total laparoscopic hysterectomy: a comparison of short‐term surgical outcomes

摘要

BACKGROUND: The objective of the study was to compare the short-term outcomes of robot-assisted hysterectomy with laparoscopic hysterectomy. METHODS: This study compared 60 patients who underwent robot-assisted hysterectomy (RAH) with 60 patients who underwent laparoscopic hysterectomy (LH). RESULTS: The mean ages of the patients in the RAH and LH groups were 51.52 ± 6.97 and 50.68 ± 8.92 years, respectively. The mean operative times for the RAH and LH groups were 108.12 ± 34.65 and 90.67 ± 25.20 min, respectively (p = 0.002). None of the cases in the RAH group required conversion to laparotomy; the rate of conversion to open laparotomy in the LH group was 1.6%. The complication rate among patients who underwent RAH was 8.3% compared with 6.6% in the laparoscopic cohort. CONCLUSIONS: Robot-assisted hysterectomy is feasible and safe, resulting in similar surgical results when compared with traditional laparoscopic hysterectomy. It appears that, in the hands of a skilled laparoscopic surgeon, robot-assisted hysterectomy is not superior to the laparoscopic approach.