Table of Contents
ISRN Minimally Invasive Surgery
Volume 2012 (2012), Article ID 408127, 4 pages
http://dx.doi.org/10.5402/2012/408127
Clinical Study

Comparison between Robot-Assisted Laparoscopic Hysterectomy and Total Laparoscopic Hysterectomy: A Cohort Study

1Eastern Virginia Medical School, 825 Fairfax Avenue, Suite 310, Norfolk, VA 23507, USA
2Michigan State University, 1000 Houghton Avenue, Saginaw, MI 48602, USA

Received 2 March 2012; Accepted 10 June 2012

Academic Editors: A. S. Al-Mulhim, K. J. Dedes, and H. Scheidbach

Copyright © 2012 Khaled Sakhel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To compare the operative outcomes in patients who underwent robot-assisted total laparoscopic hysterectomy (RLH) versus total laparoscopic hysterectomy (TLH). Study Design. Retrospective chart review. All women who underwent RLH in hospital A and TLH in hospital B by a single surgeon were included. Results. 136 patients were included (73 in the RLH group and 63 in the TLH group). There were no conversions to laparotomy in the RLH group versus 7 (11.1%) in the TLH group ( 𝑃 = 0 . 0 0 4 ). The mean induction time was significantly greater (by 6 minutes) for RLH, independent of docking time, as compared to TLH ( 𝑃 < 0 . 0 0 1 ). Total procedure time was significantly less in the RLH group (82 minutes) as compared to TLH (108 minutes) ( 𝑃 = 0 . 0 0 1 ). Mean blood loss was less for RLH (46 mL) as compared to TLH (114 mL) ( 𝑃 < 0 . 0 0 1 ). A greater number of patients who underwent RLH were discharged on postoperative day 0 as compared to those receiving TLH ( 𝑃 = 0 . 0 5 5 ). Conclusion. RLH is a safe alternative to TLH and may offer some operative advantages, including fewer conversions to laparotomy, reduced procedure time, less blood loss, and earlier discharge.