Single Incision Trans-Umbilical Total Hysterectomy: Robotic or Laparoscopic?
Makaleler > Tam Makale · 2015
Yazarlar: Ali AKDEMİR, Nuri YILDIRIM, Burak ZEYBEK, Semra KARAMAN, Fatih ŞENDAĞ
Gynecologic and Obstetric Investigation, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2015, cilt 80, ss 93-98
DOI: 10.1159/000370000
Özet
OBJECTIVE: The aim of this study was to compare the early surgical outcomes in patients who underwent total hysterectomy with laparoendoscopic single-site surgery (LESS-TH) versus robotic single-site total hysterectomy (RSS-TH). METHODS: Twenty-four patients who underwent RSS-TH and thirty-four patients who underwent LESS-TH were retrospectively evaluated. Patient characteristics, operation time, intraoperative data (conversions, complications, estimated blood loss, etc.) and postoperative pain scores were compared. RESULTS: The total operation time was significantly longer in the robotic surgery group, with a time of 98.5 vs. 86 min (p = 0.013), while vaginal closure time was significantly higher in the laparoscopic surgery group (p = 0.011). Intraoperative outcomes and postoperative pain scores were similar in the two groups. CONCLUSION: RSS-TH helps surgeons to overcome the technical disadvantages of LESS-TH, particularly vaginal cuff closure, ergonomics and instrument crowding and clashing. Early surgical outcomes are comparable in the two groups, and both techniques are safe and feasible.