Single-port myomectomy: robotic versus laparoscopic

Objective: To compare the perioperative outcomes of robotic single-site myomectomy (RSSM) and laparoendoscopic single-site myomectomy (LSSM).Methods: From January 2017 to December 2019, electronic medical records of the consecutively held 17 RSSM and 20 LSSM were reviewed. Parameters including patient’s characteristics, the total operation time, size and number of myomas taken out, operative findings, intra and postoperative complications were compared.Results: Patients who undertook RSSM were younger (27.0±7.1 vs. 32.9±7.9) and only one out of 17 (2.9%) had previous pregnancy compared to 10 out of 20 in LSSM (50.0%). Complex cases with tumors of larger size and accompanied adhesion were done using RSSM. The median operative time was longer in the RSSM (176.1±59.0 vs. 77.5±47.1). All cases were successfully performed via a single port. No cases of postoperative complication including wound dehiscence or intestinal obstruction occurred in either group.Conclusion: Perioperative outcomes of myomectomy undertaken by robotic single-site surgery and laparoendoscopic single-site surgery were comparable, though myomectomy for the larger myoma were performed with robotic single-site surgery. The role of robotic single-site myomectomy on fertility needs further investigation.