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

@article{Wang2018RoboticassistedVL,
  title={Robotic-assisted vs. laparoscopic and abdominal myomectomy for treatment of uterine fibroids: a meta-analysis},
  author={Ti-Chum Wang and Haiying Tang and Zhengxiang Xie and Shixiong Deng},
  journal={Minimally Invasive Therapy \& Allied Technologies},
  year={2018},
  volume={27},
  pages={249 - 264}
}
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… 
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22 Citations
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Methods Citations
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Results Citations
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22 Citations

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Citation Type

The effects and costs of laparoscopic versus abdominal myomectomy in patients with uterine fibroids: a systematic review and meta-analysis
TLDR
LM seems to be a better choice for patients with uterine fibroids, more related studies are needed to identify the role of LM and AM for the treatment of uterine Fibroids.
Laparoscopic versus Abdominal Myomectomy: Surgical and Post-Operative Outcomes in CHRACERH-Yaounde
TLDR
Laroscopic offers advantages compared to abdominal myomectomy, and the types of adhesions were not statistically significant in both groups.
Robot-Assisted Laparoscopic Myomectomy versus Abdominal Myomectomy for Large Myomas Sized over 10 cm or Weighing 250 g
TLDR
RALM is a feasible myomectomy technique even for large or heavy myomas, however, RALM has longer total operating time and patients in this group tend to have shorter hospital stays and fewer postoperative fevers within 48 hours.
Current status on robotic assisted myomectomy
TLDR
The current status concerning robotic myomectomy is described, reviewing publications from the past five years (2016-2021), andvantages of the wristed instruments, three-dimensional vision along with the incorporation of correct surgical techniques could emphasize the benefits of the robotic assisted approach in large and numerous myoma cases.
Comparison of surgical outcomes between robotic & laparoscopic single-site myomectomies
TLDR
Although the hospital stay might be shorter, RSSM showed longer operation time and higher estimated blood loss and one ileus and one wound dehiscence were diagnosed in the LSSM group.
Variables that prolong total operative time for robotic-assisted laparoscopic myomectomy: A 10-year tertiary hospital study in Korea.
Current Trends in the Evaluation and Management of Uterine Fibroids
TLDR
There is a growing body of literature on the role of non-surgical intervention for the treatment of fibroids, but there is insufficient data on fertility and pregnancy outcomes to recommend these strategies as first-line treatment to women desiring future fertility.
Perioperative Myomectomy Outcomes Based on the Current Coding Rules
TLDR
A minimally invasive surgical approach for both smaller and larger myomectomies with increasing leiomyoma burden was associated with fewer minor complications compared with laparotomy.
Tips and Details for Successful Robotic Myomectomy: Single-Center Experience with the First 125 Cases
TLDR
The surgical skills of the robotic myomectomy process are described in detail, showing how the advantages of this technique, such as a three-dimensional surgical view, reducing the surgeon’s tremor, and the seven degrees of freedom of the robotics arms, compensate for the defects in laparoscopic surgery.
Robotic Management of Fibroids: Discussion of Use, Criteria and Advantages.
TLDR
This is a narrative review presenting the role and the advantages of robotic surgery in fibroids (myomectomies or hysterectoms) and how such a management is effective, safe and feasible in hands of well-trained teams even for multiple, large or deep located fibroIDS.
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