机器人辅助腹腔镜子宫肌瘤切除术与腹部子宫肌瘤切除术短期手术效果的回顾性比较。

IF 0.2 4区医学 Q4 Medicine

生殖医学杂志 Pub Date : 2016-09-01

Michelle Ranes, Stephen J Carlan, Jessica Vaught, Christine E Greves

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引用次数: 0

摘要

目的:比较机器人与腹部肌切除术术中、术后手术效果。研究设计:使用2008年1月1日至2011年12月31日的电子医疗记录进行回顾性图表回顾，2008年是我院首次实施机器人辅助子宫肌瘤切除术。回顾术中结果数据、术后并发症以及住院时间。结果:共有214例腹部子宫肌瘤切除术病例和165例机器人辅助腹腔镜病例可供回顾。总操作时间(以分钟为单位)。机器人辅助的病例(236±96)比腹腔病例(110±46)明显更长。腹部肌瘤切除术患者的肌瘤总重量(391±518克)明显高于机器人辅助手术患者(229±253克)。腹部病例的住院天数比机器人病例长(3.3±1.2天vs. 1.6±1天)。腹部病例和机器人病例的估计失血量(258±335天vs. 241±370天)相似。结论:机器人辅助和腹部肌肉切除术具有相似的手术效果。然而，机器人辅助子宫肌瘤切除术的总手术时间较长是一个缺点，可能不能完全抵消较短住院时间的好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

本刊更多论文

Robot-Assisted Laparoscopic Myomectomy Versus Abdominal Myomectomy A Retrospective Comparison of Short-Term Surgical Outcomes.

Objective: To compare intraoperative and postopera- tive surgical outcomes of robotic versus abdominal myo- mectomy.

Study design: A retrospective chart review was performed using electronic medical records from Janu- ary 1, 2008-December 31, 2011, with 2008 being the first year that robotic- assisted myomectomy was performed at our institution. Intraoperative outcome data and postoperative complica- tions were reviewed as well as length of hospital stay.

Results: A total of 214 abdominal myomectomy cases and 165 robotic-assisted laparoscopic cases were available for review. Total operating time in minutes.was significantly longer for the robotic-assisted cases (236 ± 96) versus the abdom- inal cases (110 ± 46). Total myoma weight in grams removed was significantly greater in the abdominal myo- mectomy cases (391 ± 518) versus the robot-assisted- cases (229 ± 253). Length of stay in days was longer for abdominal cases as compared to robotic (3.3 ±1.2 vs. 1.6 ± 1). Estimated blood loss in milliliters was similar between abdominal and robotic cases (258 ± 335' vs. 241± 370).

Conclusion: Robotic-assisted and abdominal myo- mectomies have similar surgical outcomes. However, the longer total operating time for robotic-assisted myomec- tomies is a drawback which may not be completely offset by the benefit of a shorter hospital stay.

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来源期刊

生殖医学杂志医学-妇产科学

自引率

0.00%

发文量

6427

审稿时长

6-12 weeks

期刊介绍： The Journal of Reproductive Medicine® has been the essential tool of Obstetricians and Gynecologists since 1968. As a highly regarded professional journal and the official periodical of six medical associations, JRM® brings timely and relevant information on the latest procedures and advances in the field of reproductive medicine. Published bimonthly, JRM® contains peer-reviewed articles and case reports submitted by top specialists. Common topics include research, clinical practice, and case reports related to general obstetrics and gynecology, infertility, female cancers, gynecologic surgery, contraception, and medical education.