Robot‐assisted laparoscopic myomectomy for deep intramural myomas

So Yeon Kang, In‐Cheul Jeung, Jeung IC, In-Cheul Jeung, Youn‐Jee Chung, Hyun-Kyung Kim, Kim HK, Hyun Kyung Kim, Chae Rim Lee, Lee CR, Mansukhani TS, Tanvi S. Mansukhani, Mee-Ran Kim, Mee‐Ran Kim, Kim MR
The international journal of medical robotics + computer assisted surgery : MRCAS · 2016 · vol. 13(2) · doi:10.1002/rcs.1742 · PMID:26989866 · W2297699934
article OA: closed CC0 ⤵ 2 in-corpus citations
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Robot-assisted laparoscopic myomectomy was performed on 100 patients with deep intramural myomas, showing minimal complications and a high pregnancy rate among those seeking fertility preservation.

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Abstract

BACKGROUND: To evaluate the efficacy of robot-assisted laparoscopic myomectomy for deep intramural myomas. METHODS: We have conducted a retrospective study for 170 patients who underwent robot-assisted laparoscopic myomectomy by a single operator of tertiary university hospital. RESULTS: There were 100 cases of robot-assisted laparoscopic myomectomy for deep intramural myomas. The patients had 3.8±3.5 myomas on average, and the mean size of the largest myoma of each patient was 7.5±2.1 centimeters in diameter. Mean operative time was 276.4±97.1 minutes, and mean console time was 146.0±62.7 minutes. Thirty two patients had surgeries for other gynecologic conditions such as pelvic endometriosis or endometrial polyps along with myomectomy at the same time. All the patients recovered without any major complication. After the surgery, nine(75.0 %) of the 12 women pursuing a pregnancy became pregnant. CONCLUSION: Robot-assisted laparoscopic myomectomy for deep intramural myomas could be a minimal invasive surgical option for women who wish preserve fertility. Copyright © 2016 John Wiley & Sons, Ltd.

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Condition tags

endometriosis

MeSH descriptors

Laparoscopy Leiomyoma Minimally Invasive Surgical Procedures Myoma Robotic Surgical Procedures Uterine Myomectomy Adult Female Humans Laparoscopy Leiomyoma Middle Aged Minimally Invasive Surgical Procedures Myoma Myoma Retrospective Studies Robotic Surgical Procedures Treatment Outcome Uterine Myomectomy Uterine Neoplasms

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