Comparison of Multi- and Single-Site Robotic Myomectomy Using the Da Vinci ® SP Surgical System: A Propensity Score Matching Analysis.
Jong Mi KimYoon Hee LeeGun Oh ChongSae Rom LeeDae Gy HongPublished in: Journal of clinical medicine (2022)
Objective: This study aimed to compare the surgical outcomes between robotic multi-site myomectomy (RMSM) and robotic single-site myomectomy (RSSM), using the da Vinci® SP surgical system and perform propensity score matching analysis to ensure inter-group comparability. Methods: This retrospective study included 105 patients who underwent either three-incision RMSM or RSSM using the da Vinci® SP surgical system. We retrospectively reviewed and compared surgical outcomes using 1:1 propensity score matching. Results: After 1:1 propensity score matching, there were no differences in the total operation time and estimated blood loss between the groups. The docking time (p < 0.0001) and duration of hospital stay (p = 0.0001) were significantly shorter in the RSSM group than in the RMSM group. Conclusions: The surgical outcomes of RSSM were comparable to those of RMSM. Moreover, compared to RMSM, RSSM using the da Vinci® SP surgical system has shorter docking and morcellation times, and duration of hospital stay.
Keyphrases
- end stage renal disease
- healthcare
- minimally invasive
- newly diagnosed
- chronic kidney disease
- molecular dynamics simulations
- robot assisted
- ejection fraction
- emergency department
- protein protein
- peritoneal dialysis
- small molecule
- prognostic factors
- adverse drug
- acute care
- laparoscopic surgery
- electronic health record