2081 Robot-Assisted Laparoscopic Hysterectomy vs Traditional Laparoscopic Hysterectomy for Benign Gynecologic Disease: Clinical Results at a University Hospital

Abstract

Study Objective To describe and analyze our first 42 robot-assisted laparoscopic total hysterectomy vs 42 traditional laparoscopic hysterectomy for benign gynecologic disease. Design Ambispective Observational Study, between 2015 to 2018 Setting University Hospital at Mexico City. Patients or Participants Patients undergoing robotic-assisted total hysterectomy or traditional laparoscopic hysterectomy performed for benign disease between 2015 and 2018. Interventions We reviewed 84 clinical data of patients undergoing robotic-assisted total hysterectomy and traditional laparoscopic hysterectomy, the criteria evaluated was: age, body mass index, surgical time, anesthesia time, intraoperative blood loss, laparotomy conversion rate, uterine weight, days of hospitalization and postoperative complications. We use T- test and ANOVA to perform the statistical analysis, In all circumstances, p ≤ 0.05 was used to define statistical significance. Measurements and Main Results A total of 84 surgeries were registered, the mean age of patients (total laparoscopic hysterectomy 47.25 years; robotic hysterectomy 44.4 years; p= 0.007), mean body mass index (total laparoscopic hysterectomy 24.5 Kg/m2; robotic hysterectomy 25.4 Kg/m2; p= 0.04), the surgical time (total laparoscopic hysterectomy 216.3 minutes; robotic hysterectomy 222.8 minutes; p= 0.7), for total anesthesia time (total laparoscopic hysterectomy 237 minutes; robotic hysterectomy 256 minutes; p= 0.3), blood loss (total laparoscopic hysterectomy 238.7 ml; robotic hysterectomy 145.4 ml; p= Conclusion We confirmed the finding that the estimated blood loss is lower in robotic hysterectomy in comparison to total laparoscopic hysterectomy. The findings in our study suggest both techniques can be performed safely and in similar operative time, we found a longer hospitalary stay in robotic approach since it was the first experience with robotic surgery from our clinic this was due to standard protocol and not to adverse patient conditions.