Preliminary experience with robot-assisted laparoscopic myomectomy

Advincula AP, Arnold P. Advincula, Song A, Arleen Song, A.H. Song, William M. Burke, Burke W, William Burke, Reynolds RK, R. Kevin Reynolds
The Journal of the American Association of Gynecologic Laparoscopists · 2004 · vol. 11(4) , pp. 511–518 · doi:10.1016/s1074-3804(05)60085-0 · PMID:15701195 · W2045485498
Case report OA: closed CC0 ⤵ 17 in-corpus citations
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This preliminary report details the experience with robot-assisted laparoscopic myomectomy, evaluating its feasibility and initial outcomes.

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Abstract

The following retrospective case series evaluated the technique and feasibility of integrating robot-assisted technology in the performance of a laparoscopic myomectomy in order to overcome the limitations of conventional laparoscopy. We attempted 35 robot-assisted laparoscopic myomectomies in a university hospital setting with a conversion rate of 8.6%. There were a total of 48 myomas removed in 31 patients with completed robot-assisted laparoscopy. The mean number of myomas removed/patient was 1.6 (range 1-5). The mean diameter of myomas removed was 7.9 +/- 3.5 cm (95% CI 6.63-9.13), with the majority greater than 5 cm. The mean myoma weight was 223.2 +/- 244.1 g (95% CI 135.8-310.6). Mean operating time was 230.8 +/- 83 minutes (95% CI 201.6-260). The average estimated blood loss was 169 +/- 198.7 mL (95% CI 99.1-238.4). One patient experienced cardiogenic shock from vasopressin, two developed postoperative infections, and one was found to have adenomatous adenomyosis instead of a leiomyoma. The median length of hospital stay was 1 day. Overall, robot-assisted laparoscopic myomectomy is a promising new technique that may overcome many of the surgical limitations of conventional laparoscopy.

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MeSH descriptors

Laparoscopy Leiomyoma Robotics Robotics Robotics Uterine Neoplasms Adult Adult Feasibility Studies Feasibility Studies Female Female Humans Humans Laparoscopy Laparoscopy Leiomyoma Leiomyoma Middle Aged Middle Aged

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