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

Cilt: 46 Sayı: 2 30 Haziran 2021
Sema Karakaş *, Gökhan Demirayak , Şakir Volkan Erdoğan , Aliye Erdoğan , Ayşe Büşra Önder , İsa Aykut Özdemir , Cihan Comba , Sema Süzen Çaypınar , Murat Ekin , Levent Yaşar , Selim Afşar
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Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost

Öz

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.

Anahtar Kelimeler

hysterectomy, gynecology, robot-enhanced surgery

Destekleyen Kurum

None

Proje Numarası

None

Teşekkür

None

Kaynakça

  1. [1] Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG. Hysterectomy rates in the United States, 2003. Obstet Gynecol 2007; 110:1091–5.
  2. [2] Liao G, Zhao Z, Lin S, Li R, Yuan Y, Du S, et al. Robotic-assisted versus laparoscopic colorectal surgery: a meta-analysis of four randomized controlled trials. World J Surg Oncol 2014; 12: 122.
  3. [3] Tekkis PP, Senagore AJ, Delaney CP, Fazio VW. Evaluation of the learning curve in laparoscopic colorectal surgery: comparison of right-sided and left-sided resections. Ann Surg 2005; 242: 83-91.
  4. [4] Franasiak J KE, Kidd J, Secord AA, Bell M, Boggess JF, Gehrig PA. Physical strain and urgent need for ergonomic training among gynecologic oncologists who perform minimally invasive surgery. Gynecol Oncol 2012;126(3): 437-42.
  5. [5] Paley PJ VD, Shah CA, Everett EN, Bondurant AE, Drescher CW, Peters WA 3rd. Surgical outcomes in gynecologic oncology in the era of robotics: analysis of first 1000 cases. Am J Obstet Gynecol 2011;204(6):551.e1-9.
  6. [6] Barbash GI, Glied SA New technology and health care costs: the case of robot-assisted surgery. N Engl J Med 2010; 363:701–4.
  7. [7] Tapper AM, Hannola M, Zeitlin R, Isojärvi J, Sintonen H, Ikonen TS. A systematic review and cost analysis of robot-assisted hysterectomy in malignant and benign conditions. Eur J Obstet Gynecol Reprod Biol 2014; 177:1–10.
  8. [8] Martino MA, Berger EA, McFetridge JT, Schubella J, Gosciniac G, Wejksznr T, et al A comparison of quality outcome measures in patients having a hysterectomy for benign disease: robotic vs non-robotic approaches. J Minim Invasive Gynecol 2014; 21:389–93.
  9. [9] Gala RB, Margulies R, Steinberg A, Murphy M, Lukban J, Jeppson P, et al. Systematic review of robotic surgery in gynecology: robotic techniques compared with laparoscopy and laparotomy. J Minim Invasive Gynecol 2014;21:353–61.
  10. [10] Liu H, Lawrie TA, Lu D, Song H, Wang L, Shi G. Robot-assisted surgery in gynaecology. Cochrane Database Syst Rev 2014;12: CD011422.

Kaynak Göster

APA
Karakaş, S., Demirayak, G., Erdoğan, Ş. V., Erdoğan, A., Önder, A. B., Özdemir, İ. A., Comba, C., Süzen Çaypınar, S., Ekin, M., Yaşar, L., & Afşar, S. (2021). Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost. Cukurova Medical Journal, 46(2), 430-435. https://doi.org/10.17826/cumj.837850
AMA
1.Karakaş S, Demirayak G, Erdoğan ŞV, vd. Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost. Cukurova Med J. 2021;46(2):430-435. doi:10.17826/cumj.837850
Chicago
Karakaş, Sema, Gökhan Demirayak, Şakir Volkan Erdoğan, vd. 2021. “Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost”. Cukurova Medical Journal 46 (2): 430-35. https://doi.org/10.17826/cumj.837850.
EndNote
Karakaş S, Demirayak G, Erdoğan ŞV, Erdoğan A, Önder AB, Özdemir İA, Comba C, Süzen Çaypınar S, Ekin M, Yaşar L, Afşar S (01 Haziran 2021) Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost. Cukurova Medical Journal 46 2 430–435.
IEEE
[1]S. Karakaş vd., “Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost”, Cukurova Med J, c. 46, sy 2, ss. 430–435, Haz. 2021, doi: 10.17826/cumj.837850.
ISNAD
Karakaş, Sema - Demirayak, Gökhan - Erdoğan, Şakir Volkan - Erdoğan, Aliye - Önder, Ayşe Büşra - Özdemir, İsa Aykut - Comba, Cihan v.dğr. “Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost”. Cukurova Medical Journal 46/2 (01 Haziran 2021): 430-435. https://doi.org/10.17826/cumj.837850.
JAMA
1.Karakaş S, Demirayak G, Erdoğan ŞV, Erdoğan A, Önder AB, Özdemir İA, Comba C, Süzen Çaypınar S, Ekin M, Yaşar L, Afşar S. Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost. Cukurova Med J. 2021;46:430–435.
MLA
Karakaş, Sema, vd. “Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost”. Cukurova Medical Journal, c. 46, sy 2, Haziran 2021, ss. 430-5, doi:10.17826/cumj.837850.
Vancouver
1.Sema Karakaş, Gökhan Demirayak, Şakir Volkan Erdoğan, Aliye Erdoğan, Ayşe Büşra Önder, İsa Aykut Özdemir, Cihan Comba, Sema Süzen Çaypınar, Murat Ekin, Levent Yaşar, Selim Afşar. Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost. Cukurova Med J. 01 Haziran 2021;46(2):430-5. doi:10.17826/cumj.837850