Robot-Assisted Laparoscopic Adenomyomectomy for Patients Who Want to Preserve Fertility

Chung, Youn‐Jee; Kang, So Yeon; Choi, Mi Rang; Cho, Hyun Hee; Kim, Jang Heub; Kim, Mee‐Ran

doi:10.3349/ymj.2016.57.6.1531

Cited by 18 publications

(12 citation statements)

References 7 publications

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“…Chung et al [20] have reported the feasibility of robot-assisted laparoscopic adenomyomectomy. The mean operative time was 159.25 minutes, and the EBL was 117.5 mL.…”

Section: Discussionmentioning

confidence: 99%

A comparison of surgical outcomes between robot and laparoscopy-assisted adenomyomectomy

Shim

Jo²,

Kim³

et al. 2019

Medicine

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We aimed to investigate the feasibility of robotic adenomyomectomy and compared surgical outcomes between laparoscopic and robotic approaches for adenomyomectomy. We retrospectively reviewed the data of women who were diagnosed with adenomyosis and underwent adenomyomectomy through a minimally invasive approach between January 2014 and March 2018 at the CHA Gangnam Medical Center, Seoul, Republic of Korea. Patient demographics and operation-related outcomes were compared between the robotic and laparoscopic surgery groups. We evaluated 43 women who underwent adenomyomectomy through a minimally invasive approach (21 underwent a laparoscopic and 22 underwent a robotic adenomyomectomy). All 22 women who had originally been scheduled to undergo robotic adenomyomectomy could successfully undergo the robotic surgery without requiring conversion to laparotomy and/or serious complications. No statistically significant differences in patient demographics were observed between the robotic and the laparoscopic surgery groups. No significant intergroup difference was observed in the operative time, estimated blood loss, weight of the resected nodule, and length of hospitalization (160.0 vs 212.5 min, P = .106; 500.0 vs 300.0 mL, P = .309; 60.0 vs 70.0 g, P = .932; and 5.0 vs 6.0 days, P = .277). No serious perioperative complications were observed in either group. Robotic adenomyomectomy is feasible for women with adenomyosis. Surgical outcomes of robotic adenomyomectomy were comparable to those of a laparoscopic approach. There was, however, no superiority of robotic adenomyomectomy in terms of surgical outcomes. Further multicenter prospective studies using standardized surgical procedures are needed to confirm the conclusion of this study.

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“…Chung et al [20] have reported the feasibility of robot-assisted laparoscopic adenomyomectomy. The mean operative time was 159.25 minutes, and the EBL was 117.5 mL.…”

Section: Discussionmentioning

confidence: 99%

A comparison of surgical outcomes between robot and laparoscopy-assisted adenomyomectomy

Shim

Jo²,

Kim³

et al. 2019

Medicine

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“…Minimally invasive laparoscopic surgery is the mainstream of modern surgery; however the surgeon could not access lesions in the uterus and deep lesions are easily missed [ 12 , 17 , 18 ]. In addition, the extent of resection is definitely less than that of laparotomy and suture and haemostasis is also quite difficult, resulting in a relatively high postoperative recurrence rate [ 19 ]. Therefore, we do not recommend a laparoscopic approach for this procedure.…”

Section: Discussionmentioning

confidence: 99%

A New Surgical Method of U-Shaped Myometrial Excavation and Modified Suture Approach with Uterus Preservation for Diffuse Adenomyosis

Jun-Min

Zhu

Zhao

et al. 2018

BioMed Research International

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Objective To evaluate the feasibility, safety, and efficacy of a new surgical method of U-shaped myometrial excavation and modified suture approach with uterus preservation for diffuse adenomyosis. Methods From January 2012 to December 2014, 198 patients with diffuse adenomyosis were surgically treated using this novel procedure in Zhengzhou Hua-Shan Hospital. Degree of dysmenorrhea, menstrual blood volume, serum CA 125, and uterine size before and at 1 month, 3 months, 6 months, 12 months, and 24 months after surgery were compared. Results Postoperatively, VAS score of dysmenorrhea, menstrual blood volume, serum CA 125 level, and uterine size significantly decreased at 1 month, 3 months, 6 months, 12 months, and 24 months from presurgical levels (all p < .001), but there were no differences at the follow-up time points. Two patients recurred at 18 months and 23 months after surgery, but both recovered after repeat surgery. Interestingly, 2 other patients recrudesced at 10 months and 12 months after surgery. In addition, only one patient was found to have a postoperative anaemia with fever, conservatively managed without surgery. Conclusion U-shaped myometrial excavation and modified suture approach with uterus preservation is a safe and feasible surgical approach to treat diffuse adenomyosis, with favourable outcomes.

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“…The advantages of robotic surgery is that it has better visual field, with 3D high definition and the robotic arm has an endowrist with better range of movement in comparison to standard laparoscopy, allowing better suturing similar to laparotomic suturing. Therefore, this method has been suggested to be preferential to standard laparoscopy, however there is limited data on its use and bigger trials are required to identify benefits of robotic surgery over laparoscopy [11].…”

Section: Robot-assisted Laparoscopic Adenomyomectomymentioning

confidence: 99%

Literature Review on the Modern Management of Adenomyosis

Ahmadi¹,

Nakash²

2022

GSC Adv. Res. Rev.

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This review article discusses the current modern management of adenomyosis. Adenomyosis is common amongst women of child bearing age and it has many implications on quality of life. These women struggle with symptoms of dysmenorrhoea, menorrhagia and infertility. We discuss the medical, interventional and surgical management of adenomyosis. There are numerous medical treatments which involve hormonal and non-hormonal methods. The interventional methods consist of High intensity focus ultrasound (HIFU), percutaneous microwave ablation (PWMA) and radiofrequency ablation (RA). This paper also discusses the role of surgical technique and whether it has a role in the management of adenomyosis, currently surgical options are not routinely offered to patients. There have been promising studies which have identified that surgery has improved fertility, menorrhagia and dysmenorrhea for patients with adenomyosis.

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Robot-Assisted Laparoscopic Adenomyomectomy for Patients Who Want to Preserve Fertility

Cited by 18 publications

References 7 publications

A comparison of surgical outcomes between robot and laparoscopy-assisted adenomyomectomy

A comparison of surgical outcomes between robot and laparoscopy-assisted adenomyomectomy

A New Surgical Method of U-Shaped Myometrial Excavation and Modified Suture Approach with Uterus Preservation for Diffuse Adenomyosis

Literature Review on the Modern Management of Adenomyosis

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