背景:本研究旨在比较两种新的机器人单部位子宫肌瘤切除术(RSSM)-互补技术的手术结果:同轴机器人单部位子宫肌瘤切除术(同轴-RSSM)和混合机器人单部位子宫肌瘤切除术(Hybrid-RSSM)。
方法:132名接受同轴RSSM和150名接受混合RSSM的妇女的医疗记录,连续,进行回顾性审查。在倾向评分匹配(PSM)后评估并比较患者特征和手术结果。
结果:在PSM的结果中,同轴-RSSM组显着减少失血(79.71vs.163.75mL,p<0.001)和缩短住院时间(4.18±0.62vs.4.63±0.90)相对于Hybrid-RSSM组。相反,与同轴RSSM相比,混合RSSM允许更短的手术时间(119.19vs.156.01min,p=0.007)。两组均未转换为传统的腹腔镜检查或剖腹手术,也未需要多部位机器人方法。术后并发症,包括肠梗阻,发烧,伤口裂开,两组间差异无统计学意义。
结论:同轴RSSM的失血量较低,Hybrid-RSSM手术时间较短。为了更全面地比较两种技术之间的手术结果,需要进行随访前瞻性研究。
BACKGROUND: This study aimed to compare surgical outcomes between two new robotic single-site myomectomy (RSSM)-complementary techniques: coaxial robotic single-site myomectomy (Coaxial-RSSM) and hybrid robotic single-site myomectomy (Hybrid-RSSM).
METHODS: Medical records for 132 women undergoing Coaxial-RSSM and 150 undergoing Hybrid-RSSM, consecutively, were retrospectively reviewed. Patient characteristics and surgical outcomes were assessed and compared after propensity score matching (PSM).
RESULTS: In the outcomes of PSM, the Coaxial-RSSM group showed significantly reduced blood loss (79.71 vs. 163.75 mL, p < 0.001) and reduced hospital duration (4.18 ± 0.62 vs. 4.63 ± 0.90) relative to the Hybrid-RSSM group. Conversely, Hybrid-RSSM allowed for a shorter operative time compared with Coaxial-RSSM (119.19 vs. 156.01 min, p = 0.007). No conversions to conventional laparoscopy or laparotomy or any need for the multi-site robotic approach occurred in either group. Postoperative complications, including ileus, fever, and wound dehiscence, showed no statistically significant differences between the two groups.
CONCLUSIONS: Blood loss was lower with Coaxial-RSSM, and operative time was shorter for Hybrid-RSSM. A follow-up prospective study is warranted for more comprehensive comparison of surgical outcomes between the two techniques.