Perioperative outcomes of robotic versus laparoscopic hysterectomy for benign disease

Kristin Patzkowsky, Sawsan As-Sanie, Noam Smorgick, Arleen H. Song, Arnold P. Advincula

Research output: Contribution to journalArticle

Abstract

Background and Objectives: We compared the perioperative outcomes of hysterectomy performed by robotic (RH) versus laparoscopic (LH) routes for benign indications using the Dindo-Clavien scale for classification of the surgical complications. Methods: Retrospective chart review of all patients who underwent robotic (n=288) and laparoscopic (n=257) hysterectomies by minimally invasive surgeons at the University of Michigan from March 2001 until June 2010. Results: Age, body mass index, operative time, and estimated blood loss were not statistically different between groups. The RH subgroup had a larger uterine weight (LH 186.4±130.6 g vs RH 234.9±193.9 g, P=.001), higher prevalence of severe adhesions (13.2% vs 23.3%, respectively, P!.003), and stage III-IV endometriosis (4.7% vs 15.3%, respectively, P.05). However, the rates of urinary tract infection were higher in the RH group (LH 2.7% vs RH 6.9%, P=.02), whereas the conversion to laparotomy rate was higher in the LH group (LH 6.2% vs RH 1.7%, P=.007). Conclusions: Perioperative outcomes for laparoscopic and robotic hysterectomy for benign indications appear to be equivalent.

Original languageEnglish (US)
Pages (from-to)100-106
Number of pages7
JournalJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
Volume17
Issue number1
DOIs
StatePublished - Jan 2013
Externally publishedYes

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Robotics
Hysterectomy
Endometriosis
Operative Time
Urinary Tract Infections
Laparotomy
Body Mass Index
Weights and Measures

Keywords

  • Hysterectomy
  • Laparoscopy
  • Robotic surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Perioperative outcomes of robotic versus laparoscopic hysterectomy for benign disease. / Patzkowsky, Kristin; As-Sanie, Sawsan; Smorgick, Noam; Song, Arleen H.; Advincula, Arnold P.

In: JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons, Vol. 17, No. 1, 01.2013, p. 100-106.

Research output: Contribution to journalArticle

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