Robotic Single-Site Plus One-Port Myomectomy versus Robotic Single-Site Plus Two-Port Myomectomy: A Propensity Score Matching Analysis.

IF 2.6 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Yonsei Medical Journal Pub Date : 2024-07-01 DOI:10.3349/ymj.2023.0434

Su Hyeon Choi, Seyeon Won, Nara Lee, So Hyun Shim, Mi Kyoung Kim, Mi-La Kim, Yong Wook Jung, Bo Seong Yun, Hye Sun Jun, Seok Ju Seong

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引用次数: 0

Abstract

Purpose: Robotic single-site plus one-port myomectomy (RSOM) was designed to reduce the number of incision sites for greater cosmetic satisfaction of patients while retaining the benefits of conventional robotic multi-site myomectomy (CRM). Robotic single-site plus two-port myomectomy (RSTM) eliminated one port relative to conventional CRM, and RSOM achieved the same advantage with respect to RSTM. This study aimed to compare RSOM with RSTM in terms of their respective methodologies and surgical outcomes.

Materials and methods: The medical records of 230 patients who had undergone RSOM and 146 patients who had undergone RSTM were reviewed. The groups' surgical outcomes were compared using propensity score matching (PSM) analysis.

Results: In the total data, RSOM had a shorter operative time (135.1±57.4 min vs. 149.9±46.2 min, p=0.009) and a shorter hospital stay (5.2±0.5 days vs. 5.4±0.7 days, p=0.033) relative to RSTM. The PSM analysis showed that there were no statistically significant intergroup differences in the patients' baseline characteristics. Regarding the surgical outcomes, the RSOM group showed shorter operative time (129.2±49.3 min vs. 148.7±46.3 min, p=0.001) compared to the RSTM group.

Conclusion: Compared with RSTM, RSOM was associated with shorter operative time. Additionally, more detailed comparative and prospective studies are needed to evaluate RSOM relative to RSTM.

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机器人单部位加单孔子宫肌瘤剔除术与机器人单部位加双孔子宫肌瘤剔除术：倾向得分匹配分析

目的：机器人单部位加单孔子宫肌瘤剔除术（RSOM）旨在减少切口部位数量，提高患者的外观满意度，同时保留传统机器人多部位子宫肌瘤剔除术（CRM）的优点。与传统的CRM相比，机器人单部位加双切口子宫肌瘤切除术（RSTM）减少了一个切口，而RSOM与RSTM相比也具有同样的优势。本研究旨在比较RSOM和RSTM各自的方法和手术效果：研究人员回顾了 230 名接受过 RSOM 和 146 名接受过 RSTM 的患者的病历。采用倾向得分匹配（PSM）分析法比较了两组患者的手术结果：结果：在所有数据中，RSOM的手术时间（135.1±57.4分钟 vs. 149.9±46.2分钟，P=0.009）和住院时间（5.2±0.5天 vs. 5.4±0.7天，P=0.033）均短于RSTM。PSM分析表明，患者的基线特征在组间无统计学差异。在手术结果方面，RSOM组的手术时间（129.2±49.3分钟 vs. 148.7±46.3分钟，P=0.001）短于RSTM组：结论：与 RSTM 相比，RSOM 的手术时间更短。结论：与 RSTM 相比，RSOM 的手术时间更短。此外，还需要更详细的前瞻性比较研究来评估 RSOM 与 RSTM 的对比情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Yonsei Medical Journal 医学-医学：内科

CiteScore

4.50

自引率

0.00%

发文量

167

审稿时长

3 months

期刊介绍： The goal of the Yonsei Medical Journal (YMJ) is to publish high quality manuscripts dedicated to clinical or basic research. Any authors affiliated with an accredited biomedical institution may submit manuscripts of original articles, review articles, case reports, brief communications, and letters to the Editor.