Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost

Sema Karakaş, Gökhan Demirayak, Şakir Volkan Erdoğan, Aliye Erdoğan, Ayşe Büşra Önder, Aykut Özdemir, Cihan Comba, Sema Süzen Çaypınar, Murat Ekin, Levent Yaşar, Selim Solmaz
In: Cukurova Medical Journal · 2021 · vol. 46(2) , pp. 430–435 · doi:10.17826/cumj.837850 · W3162306615
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⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

This study compared robotic-assisted surgery (RAS) and conventional laparoscopic surgery (CLS) for hysterectomy in 80 women, finding both safe with negligible complications, but RAS was significantly more expensive and longer in operative time.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

The paper retrospectively compared operative outcomes and costs of robotic-assisted surgery versus conventional laparoscopic surgery for total hysterectomy in 80 women with benign gynecologic disorders, including uterine fibroids, abnormal uterine bleeding, endometrial hyperplasia, adenomyosis, persistent ovarian cysts, and chronic pelvic pain, with some also undergoing bilateral salpingo-oophorectomy. The mean total operative time was longer in the robotic-assisted group (187 ± 10 min) than in the conventional laparoscopic group (133 ± 24 min), while the mean total cost was higher for robotic-assisted hysterectomy (17,710 TL vs 7,000 TL). The authors concluded that both approaches were safe with negligible complication rates, but the study design limits causal inference due to its retrospective nature. Relevance to endometriosis: the paper does not explicitly discuss endometriosis; it was included in the corpus via a keyword match because it lists adenomyosis among the benign indications.

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Abstract

Purpose: The present study aimed to compare surgical outcomes and cost analysis of robotic-assisted surgery (RAS) and conventional laparoscopic surgery (CLS) hysterectomy procedures. Materials and Methods: The patients who underwent total robotic hysterectomy or total conventional laparoscopic hysterectomy with or without bilateral salpingo-oophorectomy due to benign gynecological disorders such as uterine fibroid, abnormal uterine bleeding, endometrial hyperplasia, adenomyosis, persistent ovarian cysts, chronic pelvic pain were retrospectively evaluated. Results: A total of 80 women underwent RAS or CLS hysterectomy during the study period. The mean total operative time was 187 ±10 min. in RAS and 133 ±24 min. in CLS groups, respectively. The mean total cost of the RAS hysterectomy group was 17.710 TL, and CLS hysterectomy group was 7000 TL. Conclusion: Both CLS and RAS hysterectomies for benign gynecological indications are safe surgical procedures with negligible complication rates. RAS is a more expensive procedure compared to CLS.
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Abstract

Amaç: Bu çalışma, robotik yardımlı cerrahi (RAC) ve geleneksel laparoskopik cerrahi (GLC) histerektomi prosedürlerinin cerrahi sonuçlarını ve maliyet analizini karşılaştırmayı amaçlamaktadır. Gereç ve Yöntem: Uterin fibroid, anormal uterin kanama, endometrial hiperplazi, adenomiyozis, persiste eden over kistleri, kronik pelvik ağrı gibi benign jinekolojik bozukluklar nedeniyle bilateral salpingo-ooferektomi ile birlikte veya salpingo-ooferektomi olmaksızın total robotik histerektomi veya total konvansiyonel laparoskopik histerektomi uygulanan hastalar geriye dönük olarak değerlendirildi. Bulgular: Çalışma dönemi sırasında toplam 80 kadına RAC veya GLC histerektomi yapıldı. Ortalama toplam ameliyat süresi RAC ve GLC gruplarında sırasıyla 187 ± 10 dk. ve 133 ± 24 dk. idi . RAC histerektomi grubunun ortalama toplam maliyeti 17.710 TL ve GLC histerektomi grubunun 7000 TL idi. Sonuç: İyi huylu jinekolojik endikasyonlar için hem GLC hem de RAC histerektomiler ihmal edilebilir komplikasyon oranları ile güvenli cerrahi prosedürlerdir. Maliyetlerle ilgili olarak, RAC, GLC 'ye göre daha pahalı bir prosedürdür.

Keywords

histerektomi, jinekoloji, robot destekli cerrahi Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost

Abstract

Purpose: The present study aimed to compare surgical outcomes and cost analysis of robotic-assisted surgery (RAS) and conventional laparoscopic surgery (CLS) hysterectomy procedures.

Materials and methods

The patients who underwent total robotic hysterectomy or total conventional laparoscopic hysterectomy with or without bilateral salpingo-oophorectomy due to benign gynecological disorders such as uterine fibroid, abnormal uterine bleeding, endometrial hyperplasia, adenomyosis, persistent ovarian cysts, chronic pelvic pain were retrospectively evaluated.

Results

A total of 80 women underwent RAS or CLS hysterectomy during the study period. The mean total operative time was 187 ±10 min. in RAS and 133 ±24 min. in CLS groups, respectively. The mean total cost of the RAS hysterectomy group was 17.710 TL, and CLS hysterectomy group was 7000 TL.

Conclusion

Both CLS and RAS hysterectomies for benign gynecological indications are safe surgical procedures with negligible complication rates. RAS is a more expensive procedure compared to CLS.

Keywords

hysterectomy, gynecology, robot-enhanced surgery

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adenomyosischronic_pelvic_pain

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