Robotic adnexectomy compared with laparoscopy for adnexal mass

Javier F. Magrina, Mercedes Espada, Raquel Munoz, R Muñoz, Brie N. Noble, Rosanne M. Kho, Rosanne M C Kho
Obstetrics & Gynecology · 2009 · vol. 114(3) , pp. 581–584 · doi:10.1097/aog.0b013e3181b05d97 · PMID:19701038 · W2018257015
Observational OA: closed CC0 ⤵ 6 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-10 ⓘ

Robotic adnexectomy and laparoscopy yielded similar patient outcomes for blood loss, complications, and hospital stay, though robotic surgery had a longer operative time.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

OBJECTIVE: To evaluate whether the application of robotic technology in the performance of adnexectomy resulted in benefits for the patient when compared with patients operated by laparoscopy. METHODS: Evaluation of 85 patients undergoing robotic adnexectomy and comparison with a group of 91 patients operated on by laparoscopy during the same period of time and by the same surgeons. Patients were compared by age, body mass index (BMI), American Society of Anesthesiologists (ASA) physical status classification, indications, unilateral compared with bilateral adnexectomy, adhesions, size or weight or both of the adnexal mass, and previous abdominal or pelvic surgery. Univariate and multivariate analysis was used to determine factors favorable to each technique. Comparison between the groups was evaluated using the Fisher exact test from a one-way analysis of variance. RESULTS: The robotic group had an increased number of obese (BMI 30 or more) and higher anesthetic risk (ASA classification 2 and 3) patients as compared with laparoscopy patients. The mean operating time was 12 minutes longer in the robotic group (P=.01). The mean blood loss (80 mL robotic, 71 mL laparoscopic), length of hospital stay (0.15 days robotic, 0.28 days laparoscopic), intraoperative complications (1% robotic, 2% laparoscopic), and postoperative complications (12% robotic, 11% laparoscopic) were similar in both groups. CONCLUSION: : Laparoscopy and robotics provided similar results for the performance of adnexectomy, with similar blood loss, intraoperative and postoperative complications, and length of hospital stay. Robotics mean operating time was 12 minutes longer. LEVEL OF EVIDENCE: II.

My notes (saved in your browser only)

MeSH descriptors

Adnexal Diseases Laparoscopy Robotics Surgery, Computer-Assisted Adnexal Diseases Adnexal Diseases Adnexal Diseases Adult Aged Body Mass Index Cohort Studies Female Humans Middle Aged Retrospective Studies Risk Factors Treatment Outcome

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (12)

Cited by (5)

Source provenance

openalex
last seen: 2026-05-11T06:17:40.080092+00:00
pubmed
last seen: 2026-10-08T21:06:50.232585+00:00
unpaywall
last seen: 2026-10-15T06:24:24.424788+00:00
License: CC0 · commercial use OK