A comparison of three approaches for laparoscopic single-site (LESS) myomectomy: conventional, robotic, and hand assisted

Wei-hua, Luo; Duan, Kristina; Zhang, Ning; Delgado, Stephanie; Guan, Zhenkun; Guan, Xiaoming

doi:10.1007/s11701-020-01151-x

Cited by 8 publications

(11 citation statements)

References 17 publications

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“…Few investigations reported outcomes after laparoscopic myomectomy in large myoma (2,16,17). In this investigation considered cut-off value to detect the large myoma was 80 g (2).…”

Section: Introductionmentioning

confidence: 92%

“…Uterine myomas are the most common non-malignant pelvic and genital tract tumors in females during reproductive age (1)(2)(3)(4)(5). Some studies reported incidence of myoma about 5.4%-77% worldwide (4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

“…Also, based on some studies, about 29% of gynecological hospitalization included myoma (12,13). This benign tumor is often asymptomatic (30-50%), and only about 30% of patients referred with infertility, abnormal uterine bleeding, metrorrhagia, and pelvic pain (2,9,14).…”

Section: Introductionmentioning

confidence: 99%

“…Some literature reported after myomectomy, the percentage of pregnancy increased, and abortion rates decreased (about 19% to 41%) (10,15). Laparoscopic surgery in the case of large myoma is complicated (2,8) because large myoma may affect the surgeon's visual field, operation field, limited laparoscopic instrument approaching angle, and increased operation time (2,10).…”

Section: Introductionmentioning

confidence: 99%

“…As a result, prolonged manipulation may increase surgical complications after laparoscopy in large myoma (2,10). Few investigations reported outcomes after laparoscopic myomectomy in large myoma (2,16,17).…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Laparoscopic Myomectomy Outcomes Based on Myoma Weight: A Cross-sectional Study

Akbari

Sarbazi

Karimi

et al. 2021

International Journal of Women’s Health and Reproduction Scienc

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Objectives: Myomas are the most common non-malignant pelvic neoplasm in women’s reproductive life. The aim of present study was to compare the outcome of large myoma Laparoscopy in Iranian reproductive-age women. Materials and Methods: This cross-sectional study was conducted on 86 women with symptomatic uterine myoma who underwent laparoscopic myomectomy between December 2013 and October 2018. Participants were divided into two groups based on the myoma weight (<80 (n=15) and ≥80 g (n=71)). Finally, age, body mass index, number of myomas removed, duration of surgery, postoperative hospitalization, amount of blood transfusion, and hemoglobin reduction were compared between the two groups. Data were analyzed by SPSS software version 22. Results: The mean age of participants were similar in both groups (P=0.48). There were no significant differences between the two groups regarding body mass index (P=0.56) and indications for laparoscopic myomectomy (P=0.46). The mean weight of myoma and duration of surgery were significantly different between the two groups (P<0.001 and P<0.007, respectively). Changes in hemoglobin and days of hospitalization after surgery were not significantly different between the two groups. Conclusions: The length of hospital stay and blood loss in laparoscopic myomectomy did not differ significantly based on myoma weight. So, laparoscopic myomectomy could be considered a minimally invasive alternative for managing symptomatic large myoma.

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“…Few investigations reported outcomes after laparoscopic myomectomy in large myoma (2,16,17). In this investigation considered cut-off value to detect the large myoma was 80 g (2).…”

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of Laparoscopic Myomectomy Outcomes Based on Myoma Weight: A Cross-sectional Study

Akbari

Sarbazi

Karimi

et al. 2021

International Journal of Women’s Health and Reproduction Scienc

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Robotic‐assisted laparoscopic versus abdominal and laparoscopic myomectomy: A systematic review and meta‐analysis

Chen,

Ma,

Yang

et al. 2024

Intl J Gynecology & Obste

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BackgroundMyomectomy is the preferred treatment for women with uterine fibroids and fertility requirements. There are three modalities are used in clinical practice for myomectomy: abdominal myomectomy (AM), laparoscopic myomectomy (LM), and robot‐assisted laparoscopic myomectomy (RLM).ObjectivesTo compare the perioperative and postoperative outcomes of RLM, AM, and LM.Search StrategyWe searched PubMed, Web of Science, Embase, and Clinical Trials for relevant literature published between January 2000 and January 2023.Selection CriteriaWe included all studies reporting peri‐ and postoperative outcomes of myomectomy in patients with uterine myomas. Surgical treatments were classified as RLM, LM, or AM.Data Collection and AnalysisTwo or more authors selected studies independently, assessed risk of bias, and extracted data. We derived mean difference (MD) or odds ratio (OR) with 95% confidence intervals (CIs) for each outcome, subgrouping trials by the patient characteristics and myoma characteristics. We used the I2 statistic to quantify heterogeneity and the random‐effects model for meta‐analysis when appropriate. We used the funnel plot to assess the publication bias.Main ResultsA total of 32 studies with 6357 patients were included, of which 1982 women had undergone RLM. The operating time was significantly longer (MD = 43.58, 95% confidence interval [CI]: 25.22–61.93, P < 0.001), and the incidence of cesarean section after myomectomy was significantly lower (OR = 0.27, 95% CI: 0.10–0.78, P = 0.02) in RLM than in LM. Compared with AM, the operation time, blood loss, blood transfusion rate, complication rate, total cost, length of hospital stay, and pregnancy rate of patients with RLM were significantly different.ConclusionsThe safety and effectiveness of RLM are superior to those of AM but inferior to those of LM.

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Advances in the application of robotic single-site laparoscopy in gynecology

Liu

Xiong

Chen

et al. 2022

Intelligent Surgery

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A comparison of three approaches for laparoscopic single-site (LESS) myomectomy: conventional, robotic, and hand assisted

Cited by 8 publications

References 17 publications

Comparison of Laparoscopic Myomectomy Outcomes Based on Myoma Weight: A Cross-sectional Study

Comparison of Laparoscopic Myomectomy Outcomes Based on Myoma Weight: A Cross-sectional Study

Robotic‐assisted laparoscopic versus abdominal and laparoscopic myomectomy: A systematic review and meta‐analysis

Advances in the application of robotic single-site laparoscopy in gynecology

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