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

  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},
  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… 
The effects and costs of laparoscopic versus abdominal myomectomy in patients with uterine fibroids: a systematic review and meta-analysis
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
Laroscopic offers advantages compared to abdominal myomectomy, and the types of adhesions were not statistically significant in both groups.
Current status on robotic assisted myomectomy
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
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.
Current Trends in the Evaluation and Management of Uterine Fibroids
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
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
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.
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.
The current place of mini-invasive surgery in uterine leiomyoma management.
  • J. Dubuisson
  • Medicine
    Journal of gynecology obstetrics and human reproduction
  • 2019


Robotic-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparative analysis of surgical outcomes and costs
RALM patients require less IV hydromorphone, have shorter hospital stays, and have generally equivalent clinical outcomes compared with AM patients, but as specimen size increased, the operative efficiency of RALM decreased compared withAM.
Surgical outcomes for robotic-assisted laparoscopic myomectomy compared to abdominal myomectomy
Surgical outcomes of robotic-assisted laparoscopic myomectomy could enable widespread use of a minimally invasive approach for leiomyoma treatment and Leiomyomata characteristics did not affect the observed associations.
Robot-assisted laparoscopic myomectomy versus abdominal myomectomy: a comparison of short-term surgical outcomes and immediate costs.
Comparison of robotic and laparoscopic myomectomy.
Robotically assisted laparoscopic myomectomy: a Canadian experience.
[Robot-assisted laparoscopic myomectomy: comparison with abdominal myomectomy].
Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy: A Comparison of Surgical Outcomes
Robotic-assisted myomectomy is associated with decreased blood loss and length of hospital stay compared with traditional laparoscopy and to open myomeCTomy, andRobotic technology could improve the utilization of the laparoscopic approach for the surgical management of symptomatic myomas.
Minimally invasive surgical techniques versus open myomectomy for uterine fibroids.
The overall quality of these findings is moderate, therefore further research is likely to have an important impact on the authors' confidence in the effect and in the adverse events a difference in the laparoscopic and hysteroscopy techniques, as well as on the quality of evidence itself.
Comparison of robotic-assisted laparoscopic myomectomy outcomes with laparoscopic myomectomy
RALM appears to provide the same surgical outcomes when compared with traditional laparoscopic myomectomy, and none of the cases in both groups required conversion to laparotomy.