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Comparative Studies between Robotic Laparoscopic Myomectomy and Abdominal Myomectomy with Factors Affecting Short-Term Surgical Outcomes

Fomo, Amy N.
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Abstract

The purpose of this study is to compare short-term surgical outcomes of robotic and abdominal myomectomy and to analyze the factors affecting the total operative time, estimated blood loss and length of hospital stay from a retrospective study of a consecutive case series of 122 pa-tients with symptomatic leiomyomata. Wilcoxon, t tests, multiple linear and logistic regressions analyses were performed. Patients in abdominal group had larger number of leiomyomata, larger tumor size and BMI. The operative time was longer in robotic group and was affected by the size and number of tumors, parity and interaction between parity and BMI. Estimated blood loss was lower in robotic group and was affected by the size and number of tumors .The pre-dicted odds of staying one day or less in the hospital for robotic group was 193.5 times the odds for abdominal group and was affected by the size and number of tumors.

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Date
12/1/2009
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Research Projects
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Keywords
Myomectomy, Robotic, Leiomyomata, Laparoscopy
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