Comparison of Surgical Outcomes of Two New Techniques Complementing Robotic Single-Site Myomectomy: Coaxial Robotic Single-Site Myomectomy vs. Hybrid Robotic Single-Site Myomectomy
This study aimed to compare surgical outcomes between two new robotic single-site myomectomy (RSSM)-complementary techniques: coaxial robotic single-site myomectomy (Coaxial-RSSM) and hybrid robotic single-site myomectomy (Hybrid-RSSM). Medical records for 132 women undergoing Coaxial-RSSM and 150 u...
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| Veröffentlicht in: | Journal of personalized medicine 2024-04, Vol.14 (4), p.439 |
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| container_title | Journal of personalized medicine |
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| creator | Lee, Nara Choi, Su-Hyeon Won, Seyeon Jung, Yong-Wook Kim, Seung-Hyun Lee, Jin-Yu Lim, Chul-Kwon Yang, Jung-Bo Ha, Joong-Gyu Seong, Seok-Ju |
| description | This study aimed to compare surgical outcomes between two new robotic single-site myomectomy (RSSM)-complementary techniques: coaxial robotic single-site myomectomy (Coaxial-RSSM) and hybrid robotic single-site myomectomy (Hybrid-RSSM).
Medical records for 132 women undergoing Coaxial-RSSM and 150 undergoing Hybrid-RSSM, consecutively, were retrospectively reviewed. Patient characteristics and surgical outcomes were assessed and compared after propensity score matching (PSM).
In the outcomes of PSM, the Coaxial-RSSM group showed significantly reduced blood loss (79.71 vs. 163.75 mL,
< 0.001) and reduced hospital duration (4.18 ± 0.62 vs. 4.63 ± 0.90) relative to the Hybrid-RSSM group. Conversely, Hybrid-RSSM allowed for a shorter operative time compared with Coaxial-RSSM (119.19 vs. 156.01 min,
= 0.007). No conversions to conventional laparoscopy or laparotomy or any need for the multi-site robotic approach occurred in either group. Postoperative complications, including ileus, fever, and wound dehiscence, showed no statistically significant differences between the two groups.
Blood loss was lower with Coaxial-RSSM, and operative time was shorter for Hybrid-RSSM. A follow-up prospective study is warranted for more comprehensive comparison of surgical outcomes between the two techniques. |
| doi_str_mv | 10.3390/jpm14040439 |
| format | Article |
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Medical records for 132 women undergoing Coaxial-RSSM and 150 undergoing Hybrid-RSSM, consecutively, were retrospectively reviewed. Patient characteristics and surgical outcomes were assessed and compared after propensity score matching (PSM).
In the outcomes of PSM, the Coaxial-RSSM group showed significantly reduced blood loss (79.71 vs. 163.75 mL,
< 0.001) and reduced hospital duration (4.18 ± 0.62 vs. 4.63 ± 0.90) relative to the Hybrid-RSSM group. Conversely, Hybrid-RSSM allowed for a shorter operative time compared with Coaxial-RSSM (119.19 vs. 156.01 min,
= 0.007). No conversions to conventional laparoscopy or laparotomy or any need for the multi-site robotic approach occurred in either group. Postoperative complications, including ileus, fever, and wound dehiscence, showed no statistically significant differences between the two groups.
Blood loss was lower with Coaxial-RSSM, and operative time was shorter for Hybrid-RSSM. A follow-up prospective study is warranted for more comprehensive comparison of surgical outcomes between the two techniques.</description><identifier>ISSN: 2075-4426</identifier><identifier>EISSN: 2075-4426</identifier><identifier>DOI: 10.3390/jpm14040439</identifier><identifier>PMID: 38673066</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Abdomen ; Complications ; Dehiscence ; Fertility ; Fibroids ; Hemoglobin ; Hospitals ; Hysterectomy ; Laparoscopy ; Medical equipment and supplies industry ; Medical records ; Medical research ; Medical test kit industry ; Medicine, Experimental ; Postoperative ; Robotic surgery ; Skin ; Statistical analysis ; Surgery ; Surgical outcomes ; Sutures ; Womens health ; Wound dehiscence</subject><ispartof>Journal of personalized medicine, 2024-04, Vol.14 (4), p.439</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c379t-e09cfc72cacb5d061e8a9a127b5fc383488e87b3b91fefdba08269441307c6783</cites><orcidid>0000-0002-7627-2681 ; 0000-0003-1433-2690</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38673066$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Nara</creatorcontrib><creatorcontrib>Choi, Su-Hyeon</creatorcontrib><creatorcontrib>Won, Seyeon</creatorcontrib><creatorcontrib>Jung, Yong-Wook</creatorcontrib><creatorcontrib>Kim, Seung-Hyun</creatorcontrib><creatorcontrib>Lee, Jin-Yu</creatorcontrib><creatorcontrib>Lim, Chul-Kwon</creatorcontrib><creatorcontrib>Yang, Jung-Bo</creatorcontrib><creatorcontrib>Ha, Joong-Gyu</creatorcontrib><creatorcontrib>Seong, Seok-Ju</creatorcontrib><title>Comparison of Surgical Outcomes of Two New Techniques Complementing Robotic Single-Site Myomectomy: Coaxial Robotic Single-Site Myomectomy vs. Hybrid Robotic Single-Site Myomectomy</title><title>Journal of personalized medicine</title><addtitle>J Pers Med</addtitle><description>This study aimed to compare surgical outcomes between two new robotic single-site myomectomy (RSSM)-complementary techniques: coaxial robotic single-site myomectomy (Coaxial-RSSM) and hybrid robotic single-site myomectomy (Hybrid-RSSM).
Medical records for 132 women undergoing Coaxial-RSSM and 150 undergoing Hybrid-RSSM, consecutively, were retrospectively reviewed. Patient characteristics and surgical outcomes were assessed and compared after propensity score matching (PSM).
In the outcomes of PSM, the Coaxial-RSSM group showed significantly reduced blood loss (79.71 vs. 163.75 mL,
< 0.001) and reduced hospital duration (4.18 ± 0.62 vs. 4.63 ± 0.90) relative to the Hybrid-RSSM group. Conversely, Hybrid-RSSM allowed for a shorter operative time compared with Coaxial-RSSM (119.19 vs. 156.01 min,
= 0.007). No conversions to conventional laparoscopy or laparotomy or any need for the multi-site robotic approach occurred in either group. Postoperative complications, including ileus, fever, and wound dehiscence, showed no statistically significant differences between the two groups.
Blood loss was lower with Coaxial-RSSM, and operative time was shorter for Hybrid-RSSM. A follow-up prospective study is warranted for more comprehensive comparison of surgical outcomes between the two techniques.</description><subject>Abdomen</subject><subject>Complications</subject><subject>Dehiscence</subject><subject>Fertility</subject><subject>Fibroids</subject><subject>Hemoglobin</subject><subject>Hospitals</subject><subject>Hysterectomy</subject><subject>Laparoscopy</subject><subject>Medical equipment and supplies industry</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Medical test kit industry</subject><subject>Medicine, Experimental</subject><subject>Postoperative</subject><subject>Robotic surgery</subject><subject>Skin</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Sutures</subject><subject>Womens health</subject><subject>Wound dehiscence</subject><issn>2075-4426</issn><issn>2075-4426</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqFkl1rFDEUhoMottReeS8BbwSZbTKZyYd3ZdFW6Ae46_WQyZysWSaTNZmx7v_yBzZDq9YimnORk5fnfTmBg9BLShaMKXKy3XlakVxMPUGHJRF1UVUlf_qgP0DHKW1JPrIuS06eowMmuWCE80P0Yxn8TkeXwoCDxaspbpzRPb6eRhM8pFlc3wR8BTd4DebL4L5OWZ1dPXgYRjds8KfQhtEZvMqPHoqVGwFf7rPdjMHv32Vaf3c59N8c_pYW-HzfRtf9h3yBnlndJzi-v4_Q5w_v18vz4uL67OPy9KIwTKixAKKMNaI02rR1RzgFqZWmpWhra5hklZQgRctaRS3YrtVEllxVFWVEGC4kO0Jv7nJ3MczfHhvvkoG-1wOEKTWMVELVpOIso68fodswxSFPN1NccSpV-Zva6B4aN9gwRm3m0OZUKFbXktY8U4u_ULk68M6EAazL-h-Gt3cGE0NKEWyzi87ruG8oaeY1aR6sSaZf3Y86tR66X-zPpWC3Aua5DQ</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Lee, Nara</creator><creator>Choi, Su-Hyeon</creator><creator>Won, Seyeon</creator><creator>Jung, Yong-Wook</creator><creator>Kim, Seung-Hyun</creator><creator>Lee, Jin-Yu</creator><creator>Lim, Chul-Kwon</creator><creator>Yang, Jung-Bo</creator><creator>Ha, Joong-Gyu</creator><creator>Seong, Seok-Ju</creator><general>MDPI AG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7627-2681</orcidid><orcidid>https://orcid.org/0000-0003-1433-2690</orcidid></search><sort><creationdate>20240401</creationdate><title>Comparison of Surgical Outcomes of Two New Techniques Complementing Robotic Single-Site Myomectomy: Coaxial Robotic Single-Site Myomectomy vs. Hybrid Robotic Single-Site Myomectomy</title><author>Lee, Nara ; Choi, Su-Hyeon ; Won, Seyeon ; Jung, Yong-Wook ; Kim, Seung-Hyun ; Lee, Jin-Yu ; Lim, Chul-Kwon ; Yang, Jung-Bo ; Ha, Joong-Gyu ; Seong, Seok-Ju</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-e09cfc72cacb5d061e8a9a127b5fc383488e87b3b91fefdba08269441307c6783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdomen</topic><topic>Complications</topic><topic>Dehiscence</topic><topic>Fertility</topic><topic>Fibroids</topic><topic>Hemoglobin</topic><topic>Hospitals</topic><topic>Hysterectomy</topic><topic>Laparoscopy</topic><topic>Medical equipment and supplies industry</topic><topic>Medical records</topic><topic>Medical research</topic><topic>Medical test kit industry</topic><topic>Medicine, Experimental</topic><topic>Postoperative</topic><topic>Robotic surgery</topic><topic>Skin</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Sutures</topic><topic>Womens health</topic><topic>Wound dehiscence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Nara</creatorcontrib><creatorcontrib>Choi, Su-Hyeon</creatorcontrib><creatorcontrib>Won, Seyeon</creatorcontrib><creatorcontrib>Jung, Yong-Wook</creatorcontrib><creatorcontrib>Kim, Seung-Hyun</creatorcontrib><creatorcontrib>Lee, Jin-Yu</creatorcontrib><creatorcontrib>Lim, Chul-Kwon</creatorcontrib><creatorcontrib>Yang, Jung-Bo</creatorcontrib><creatorcontrib>Ha, Joong-Gyu</creatorcontrib><creatorcontrib>Seong, Seok-Ju</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of personalized medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Nara</au><au>Choi, Su-Hyeon</au><au>Won, Seyeon</au><au>Jung, Yong-Wook</au><au>Kim, Seung-Hyun</au><au>Lee, Jin-Yu</au><au>Lim, Chul-Kwon</au><au>Yang, Jung-Bo</au><au>Ha, Joong-Gyu</au><au>Seong, Seok-Ju</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Surgical Outcomes of Two New Techniques Complementing Robotic Single-Site Myomectomy: Coaxial Robotic Single-Site Myomectomy vs. Hybrid Robotic Single-Site Myomectomy</atitle><jtitle>Journal of personalized medicine</jtitle><addtitle>J Pers Med</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>14</volume><issue>4</issue><spage>439</spage><pages>439-</pages><issn>2075-4426</issn><eissn>2075-4426</eissn><abstract>This study aimed to compare surgical outcomes between two new robotic single-site myomectomy (RSSM)-complementary techniques: coaxial robotic single-site myomectomy (Coaxial-RSSM) and hybrid robotic single-site myomectomy (Hybrid-RSSM).
Medical records for 132 women undergoing Coaxial-RSSM and 150 undergoing Hybrid-RSSM, consecutively, were retrospectively reviewed. Patient characteristics and surgical outcomes were assessed and compared after propensity score matching (PSM).
In the outcomes of PSM, the Coaxial-RSSM group showed significantly reduced blood loss (79.71 vs. 163.75 mL,
< 0.001) and reduced hospital duration (4.18 ± 0.62 vs. 4.63 ± 0.90) relative to the Hybrid-RSSM group. Conversely, Hybrid-RSSM allowed for a shorter operative time compared with Coaxial-RSSM (119.19 vs. 156.01 min,
= 0.007). No conversions to conventional laparoscopy or laparotomy or any need for the multi-site robotic approach occurred in either group. Postoperative complications, including ileus, fever, and wound dehiscence, showed no statistically significant differences between the two groups.
Blood loss was lower with Coaxial-RSSM, and operative time was shorter for Hybrid-RSSM. A follow-up prospective study is warranted for more comprehensive comparison of surgical outcomes between the two techniques.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38673066</pmid><doi>10.3390/jpm14040439</doi><orcidid>https://orcid.org/0000-0002-7627-2681</orcidid><orcidid>https://orcid.org/0000-0003-1433-2690</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
| subjects | Abdomen Complications Dehiscence Fertility Fibroids Hemoglobin Hospitals Hysterectomy Laparoscopy Medical equipment and supplies industry Medical records Medical research Medical test kit industry Medicine, Experimental Postoperative Robotic surgery Skin Statistical analysis Surgery Surgical outcomes Sutures Womens health Wound dehiscence |
| title | Comparison of Surgical Outcomes of Two New Techniques Complementing Robotic Single-Site Myomectomy: Coaxial Robotic Single-Site Myomectomy vs. Hybrid Robotic Single-Site Myomectomy |
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