Comparison of minimally invasive surgical approaches for hysterectomy at a community hospital: robotic-assisted laparoscopic hysterectomy, laparoscopic-assisted vaginal hysterectomy and laparoscopic supracervical hysterectomy

The study reported here compares outcomes of three approaches to minimally invasive hysterectomy for benign indications, namely, robotic-assisted laparoscopic (RALH), laparoscopic-assisted vaginal (LAVH) and laparoscopic supracervical (LSH) hysterectomy. The total patient cohort comprised the first...

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Bibliographic Details
Published in:Journal of robotic surgery 2010-09, Vol.4 (3), p.167-175
Main Authors: Giep, Bang N., Giep, Hoang N., Hubert, Helen B.
Format: Article
Language:English
Subjects:
Bladder
Catheters
Cervix
Clinical outcomes
Complexity
Dissection
Gynecology
Hospitals
Hysterectomy
Laparoscopy
Laparotomy
Learning curves
Ligaments
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Original
Original Article
Patients
Robotic surgery
Skin
Surgeons
Surgery
Urology
Vagina
Visual acuity
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Summary:The study reported here compares outcomes of three approaches to minimally invasive hysterectomy for benign indications, namely, robotic-assisted laparoscopic (RALH), laparoscopic-assisted vaginal (LAVH) and laparoscopic supracervical (LSH) hysterectomy. The total patient cohort comprised the first 237 patients undergoing robotic surgeries at our hospital between August 2007 and June 2009; the last 100 patients undergoing LAVH by the same surgeons between July 2006 and February 2008 and 165 patients undergoing LAVHs performed by nine surgeons between January 2008 and June 2009; 87 patients undergoing LSH by the same nine surgeons between January 2008 and June 2009. Among the RALH patients were cases of greater complexity: (1) higher prevalence of prior abdominopelvic surgery than that found among LAVH patients; (2) an increased number of procedures for endometriosis and pelvic reconstruction. Uterine weights also were greater in RALH patients [207.4 vs. 149.6 (LAVH; P  
ISSN:1863-2483
1863-2491
DOI:10.1007/s11701-010-0206-y