Robotic versus laparoscopic hysterectomy

Abstract

Objective: To compare early surgical outcomes of robotic assisted laparoscopic hysterectomy with laparoscopic hysterectomy for benign diseases, in terms of operation time, estimated blood loss (EBL), perioperative complications, hospital stay and first gas discharge. Material and Methods: Medical records of 146 patients who either underwent laparoscopic (n=84) or robotic assisted laparoscopic hysterectomy (n=62) for benign diseases were extracted from records. Demographic characteristics and operation time, EBL, length of hospital stay and first gas discharge were compared between the groups. Results: Mean age and mean body mass index of both groups were comparable. The difference in the mean EBL was not statistically significant between laparoscopic (91 +/- 65 mL) and robotic group (80 +/- 37 mL, p=0.43). The difference in the mean first gas discharge time was not statistically different between laparoscopic (15 +/- 5 hours) and robotic group (17 +/- 6 hours, p=0.33). The length of hospital stay was comparable between groups (1.4 +/- 0.5 vs 1.5 +/- 0.7 days, p=0.64). The mean operation time was longer for the robotic group (150 +/- 180 minimum) when compared with laparoscopic group (105 +/- 18 minimum, p<0.01). The mean uterine weight of the robotic group was significantly heavier compared with laparoscopic group (234 +/- 157 grams vs 153 +/- 1I9 grams, respectively, p<0.01). Conclusion: Early surgical outcomes of robotic assisted laparoscopic and laparoscopic hysterectomy were comparable in terms of EBL, first gas discharge and hospital stay. Operation time was longer for robotic hysterectomy.