Robot-Assisted Laparoscopic Myomectomy versus Abdominal Myomectomy for Large Myomas Sized over 10 cm or Weighing 250 g.

摘要: PURPOSE Here, we compared the operative and perioperative outcomes between robot-assisted laparoscopic myomectomy (RALM) abdominal (AM) in patients with large (>10 cm) or heavy myomas (>250 g). MATERIALS AND METHODS We included 278 who underwent multi-port RALM (n=126) AM (n=151) for a tertiary care hospital April 2019 June 2020. The t-test, chi-square, Bonferroni's test, multiple linear regression were used. RESULTS No differences observed age, body mass index, parity, history of pelvic surgery two groups. Myoma diameters not different (10.8±2.52 cm vs. 11.2±3.0 cm, p=0.233), but lighter group than (444.6±283.14 g 604.68±368.35 g, respectively, p=0.001). had higher proportion subserosal myomas, fewer over >3 longer total operating time. However, also shorter stay short-term complications. Estimated blood loss (EBL) was number removed most significant factor (coefficient=10.89, p<0.0001) affecting EBL. CONCLUSION is feasible technique even myomas. tend to have stays postoperative fevers within 48 hours. has