IMR Press / CEOG / Volume 49 / Issue 5 / DOI: 10.31083/j.ceog4905109
Open Access Original Research
Is robot-assisted laparoscopic myomectomy superior to laparoscopic myomectomy?
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1 Department of Obstetrics and Gynecology, Acıbadem Taksim Hospital, Acibadem Healthcare Group, 34373 Istanbul, Turkey
2 Department of Obstetrics and Gynecology, Guven Hospital, 06540 Ankara, Turkey
3 Department of Statistics, Faculty of Art and Sciences, Middle East Technical University, 06800 Ankara, Turkey
4 Department of Obstetrics and Gynecology, School of Medicine, Yuksek Ihtisas University, 06520 Ankara, Turkey
*Correspondence: (Ömer Lütfi Tapısız)
Academic Editor: Michael H. Dahan
Clin. Exp. Obstet. Gynecol. 2022, 49(5), 109;
Submitted: 15 July 2021 | Revised: 27 September 2021 | Accepted: 13 October 2021 | Published: 10 May 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

Background: To determine whether RLM (Robot-assisted Laparoscopic Myomectomy) or LM (Laparoscopic Myomectomy) provides better surgical and post-operative outcomes for patients willing to have minimally invasive myomectomy. Methods: In this retrospective cohort (Class II-2) analysis, all patients who underwent RLM and LM by a single expertise surgical team from January 1st, 2018 to March 31st, 2020 were identified. The patients’ characteristics, operative data, and post-operative outcomes were collected and statistically analyzed. Results: A total of 118 patients with an indication of myomectomy were included, 39 of whom underwent RLM, while 79 underwent LM. There were no significant differences among the groups in demographic characteristics (p > 0.05). RLM was associated with lower estimated blood loss (55.00 ± 39.11 mL vs. 110.80 ± 74.72 mL, respectively, p < 0.001) and larger myoma size (6.92 ± 1.88 cm vs. 6.00 ± 2.07 cm, p < 0.001) compared with LM. No significant differences were noted between the groups for other parameters (p > 0.05). Conclusions: Although RLM was associated with significantly less blood loss, this difference did not entail clinical implications. In general, both methods demonstrated similar clinical outcomes. For cost effectiveness, LM appears to outperform RLM, particularly in experienced hands.

Minimally invasive surgery
Laparoscopic myomectomy
Robot-assisted myomectomy
Fig. 1.
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