https://scholars.lib.ntu.edu.tw/handle/123456789/550201
標題: | Comparison of robot-assisted laparoscopic myomectomy and traditional laparoscopic myomectomy | 作者: | Hsiao S.-M. HO-HSIUNG LIN Peng F.-S. Jen P.-J. Hsiao C.-F. Tu F.-C. |
公開日期: | 2013 | 卷: | 39 | 期: | 5 | 起(迄)頁: | 1024-1029 | 來源出版物: | Journal of Obstetrics and Gynaecology Research | 摘要: | Aim: The benefit of robot-assisted laparoscopic myomectomy (RALM) over traditional laparoscopic myomectomy (TLM) remains undetermined. The aim of this study was to reveal any potential advantage of RALM over TLM. Material and Methods: Between June 2010 and October 2011, all women presenting with symptomatic uterine myomas were enrolled in this study. Perioperative variables were compared between these two groups. The patients recruited in this study were allocated into the two groups based on their financial considerations. Results: A total of 42 patients received RALM (n = 20) or TLM (n = 22) for symptomatic uterine myomas. The operation time was longer in the RALM group; but the total abdominal drainage amount on postoperative day 1 was significantly less in the RALM group than the TLM group. Multivariate analysis revealed that the RALM procedure (coefficient = 79.1, P < 0.001), number of myomas (coefficient = 15.4, P = 0.002), and the presence of a cervical myoma (coefficient = 54.9, P = 0.01) were independent factors affecting operation time; the maximum myoma diameter was the only factor affecting blood loss (coefficient = 113.4, P = 0.003). However, the RALM procedure was the only factor affecting the amount of abdominal drainage on postoperative day 1 (coefficient =-86.3, P = 0.006). Conclusions: Although RALM is a longer operation than TLM, it might result in less postoperative abdominal drainage than TLM and help alleviate short-term morbidity. ? 2013 The Authors. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84880309950&doi=10.1111%2fj.1447-0756.2012.02073.x&partnerID=40&md5=d72f4191e660fe9460c2981d86a918ac https://scholars.lib.ntu.edu.tw/handle/123456789/550201 |
ISSN: | 1341-8076 | DOI: | 10.1111/j.1447-0756.2012.02073.x | SDG/關鍵字: | abdominal drainage; adult; article; clinical article; controlled study; female; human; intermethod comparison; laparoscopic surgery; myomectomy; operation duration; postoperative period; robot assisted laparoscopic myomectomy; robotics; traditional laparoscopic myomectomy; uterus myoma; Adult; Blood Loss, Surgical; Female; Follow-Up Studies; Humans; Laparoscopy; Leiomyoma; Middle Aged; Postoperative Complications; Retrospective Studies; Robotics; Severity of Illness Index; Taiwan; Uterine Myomectomy; Uterus |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。