Laparoscopy vs. Robotic Surgery for Endometriosis (LAROSE): a multicenter, randomized, controlled trial

Enrique Soto, Soto E, Luu TH, Thanh Ha Luu, Liu X, Xiaobo Liu, Magrina JF, Javier F. Magrina, Megan Wasson, Megan N Wasson, Einarsson JI, Jon I. Einarsson, Cohen SL, Sarah L. Cohen, Falcone T, Tommaso Falcone
Fertility and sterility · 2017 · vol. 107(4) , pp. 996–1002.e3 · doi:10.1016/j.fertnstert.2016.12.033 · PMID:28238489 · W2589501886
RCT OA: bronze CC0 ⤵ 79 in-corpus citations
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This randomized controlled trial compared laparoscopic and robotic surgery outcomes for endometriosis treatment across multiple centers.

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Abstract

OBJECTIVE: To determine whether the use of the robot for surgical treatment of endometriosis is better than traditional laparoscopy in terms of operative length, perioperative parameters, and quality of life outcomes. DESIGN: Multicenter, randomized clinical trial. SETTING: University teaching hospitals. PATIENT(S): Women aged >18 years with suspected endometriosis who elected to undergo surgical management. INTERVENTION(S): Randomization to conventional or robot-assisted laparoscopic removal of endometriosis. MAIN OUTCOME MEASURE(S): The primary outcome measured was operative time. Secondary outcomes were perioperative complications and quality of life. RESULT(S): The mean operative time for robotic vs. laparoscopic surgery for endometriosis was 106.6 ± 48.4 minutes vs. 101.6 ± 63.2 minutes. There were no differences in blood loss, intraoperative or postoperative complications, or rates of conversion to laparotomy in the two arms. Both groups reported significant improvement on condition-specific quality of life outcomes at 6 weeks and 6 months. CONCLUSION(S): There were no differences in perioperative outcomes between robotic and conventional laparoscopy. CLINICAL TRIAL REGISTRATION NUMBER: NCT01556204.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Laparoscopy Laparoscopy Robotic Surgical Procedures Robotic Surgical Procedures Robotic Surgical Procedures Adult Adult Blood Loss, Surgical Blood Loss, Surgical Conversion to Open Surgery Conversion to Open Surgery Endometriosis Endometriosis Endometriosis Female Female Hospitals, University Hospitals, University

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 (32)

Cited by (50)

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