Robotic-assisted vs. laparoscopic and abdominal myomectomy for treatment of uterine fibroids: a meta-analysis

Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
Tichun WangShixiong Deng

Abstract

Uterine fibroids are extremely common uterine neoplasms. However, whether robotic-assisted laparoscopic myomectomy (RALM) is superior to laparoscopic myomectomy (LM) or abdominal myomectomy (AM) is still debatable. Consequently, we aimed to compare the three currently major surgical techniques used in patients with uterine fibroids. We searched the PubMed, the Cochrane Library, MEDLINE, Embase, and Web of Science databases up to April 22, 2017. The meta-analysis included 20 studies involving 2852 patients. The number of complications [odd ratio (OR) 0.52, p = 0.009], estimated blood loss (EBL) [weighted mean difference (WMD) -33.03, p = 0.02], conversions (OR 0.34, p = 0.03), and postoperative bleeding (OR 0.18, p = 0.03) in RALM cases was significantly less than that for LM. The numbers of complications (OR 0.56, p = 0.03), length of hospital stay (WMD -1.74, p < 0.00001), EBL (WMD -77.74, p < 0.00001), and numbers of transfusions (OR 0.25, p < 0.0001) were significantly decreased, and the operative time (WMD 84.88, p < 0.00001) was significantly prolonged in RALM cases when compared to AM cases. Compared with LM and AM, RALM is associated with significantly fewer complications, significantly lower EBL, significantly fewer con...Continue Reading

References

Oct 1, 1990·American Journal of Clinical Pathology·S F Cramer, A Patel
Feb 24, 2001·Lancet·E A Stewart
Jan 28, 2003·American Journal of Obstetrics and Gynecology·Donna Day BairdJoel M Schectman
Apr 21, 2005·BMC Medical Research Methodology·Stela Pudar HozoIztok Hozo
Jun 11, 2005·Science·Cheryl Lyn Walker, Elizabeth A Stewart
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
Aug 18, 2009·American Journal of Obstetrics and Gynecology·Carrie E BedientRosanne M Kho
Nov 10, 2009·Journal of Minimally Invasive Gynecology·Amy GeorgeGanesa Wegienka
Dec 8, 2009·American Journal of Obstetrics and Gynecology·Amber R CooperAnna S Graseck
Mar 23, 2010·Journal of Minimally Invasive Gynecology·Charles J Ascher-Walsh, Tracy L Capes
Dec 21, 2010·Fertility and Sterility·Donna Day BairdShyamal D Peddada
Jan 22, 2011·Obstetrics and Gynecology·Ehab E BarakatTommaso Falcone
Nov 22, 2011·Journal of Minimally Invasive Gynecology·Millie A BeheraJennifer M Wu
Jan 17, 2012·American Journal of Obstetrics and Gynecology·Eden R CardozoJames H Segars
Jun 30, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·N RanisavljevicG Triopon
Jul 25, 2012·Obstetrics and Gynecology·Antonio R GargiuloJon I Einarsson
Aug 31, 2012·Archives of Gynecology and Obstetrics·Ahmet GöçmenMustafa Gazi Uçar
Sep 4, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Henri MarretUNKNOWN CNGOF (French College of Gynecology and Obstetrics)
Feb 6, 2013·The Journal of Obstetrics and Gynaecology Research·Sheng-Mou HsiaoFung-Chao Tu
Feb 21, 2013·JAMA : the Journal of the American Medical Association·Jason D WrightDawn L Hershman
Mar 5, 2013·Journal of Minimally Invasive Gynecology·Jyotsna PundirSalma Kayani
Jun 8, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Joseph M GobernAlbert J Steren
Sep 11, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Leanne GriffinAlexander Lin
Oct 4, 2013·The New England Journal of Medicine·Serdar E Bulun
Oct 15, 2013·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Nicola PluchinoVito Cela
Jul 1, 2014·Maturitas·Faustino R Pérez-LópezMargaret Rees
Aug 12, 2014·American Journal of Obstetrics and Gynecology·Jenna R ZechmeisterBhavana Pothuri
Dec 3, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S D QuinnL Regan
Mar 17, 2015·CA: a Cancer Journal for Clinicians·Philippe D VioletteKari A O Tikkinen
Mar 13, 2016·Archives of Gynecology and Obstetrics·Christos IavazzoIoannis D Gkegkes
Dec 1, 2010·Journal of Robotic Surgery·Roopina SanghaGanesa Wegienka
Feb 7, 2017·Obstetrics and Gynecology International·Rebecca FlycktTommaso Falcone
Apr 22, 2017·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Khulkar AbdusattarovaAstrid Dempfle

❮ Previous
Next ❯

Citations

Sep 17, 2019·Clinical Obstetrics and Gynecology·Aaron VargheseAmanda N Fader
Oct 22, 2019·Clinical Obstetrics and Gynecology·Courtney S LimSawsan As-Sanie
Aug 11, 2020·Acta Medica (Hradec Králové)·Ioannis D GkegkesChristos Iavazzo
Aug 28, 2020·Archives of Gynecology and Obstetrics·Dimitrios BalafoutasRalf Joukhadar
May 15, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Kyung-Min ParkMee-Ran Kim

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.