La myomectomie par cœlioscopie avec assistance robotique : comparaison avec la laparotomie

Laparoscopic versus Abdominal Myomectomy: Surgical and Post-Operative Outcomes in CHRACERH-Yaounde

“…This is similar to that obtained by Chang et al in 2012 [8] [13] that reported less operation time for laparoscopic myomectomy compared to laparotomy myomectomy. In a prospective study carried out by Kalogiannidis et al in 2010 [11] reported shorter operation time with laparoscopic assisted myomectomy which was 68 ± 21 minutes compared with 83 ± 24 minutes for laparotomy myomectomy which was statistically significant (p < 0.001).…”

“…This agrees with our results in absolute terms. Renisavljevic et al 2012 [8] in their study also reported that the average blood loss during surgery was 397 ± 377 mL in LM group and 387 ± 349 mL for AM (p = 0.71). The difference between the average blood loss was not statistically significant and thus correlates with our results.…”

“…This was also similar with the study obtained by Nicel et al in 2014 [7] that showed the number of fibroids was the same in the two group pre-operatively (p = 0.232). Renisavljevic et al 2012 [8] in their study conclude that there was no difference in the number of fibroids on U/S in the two groups The size of largest fibroid (cm) (mean ± SD) diagnosed with ultrasound was different on both groups (p = 0.026): 5.00 cm ± 1.76 in LM group and 6.10 cm ± 1.52 in AM group. In both groups, the surgical outcomes some differences.…”

“…This correlates with results obtained by Innie Chen et al in 2011 [5] who stated that the median hospital stay was 2 days for AM and 1day for LM which was statistically significant and Nicel et al in 2014 [7] reported shorter duration of hospital stay for laparoscopy group which was 2.5 days than for laparotomy group which was 3 days and statistically significant. Also Renisavljevic et al 2012 [8] concluded that the length of hospital stay 7.2 ± 0.8 days for AM was longer than 3.9 ± 2.8 days (p < 0.001) in LM which was statistically significant. Ascher-Walsh and Capes in 2010 [9] obtained similar results.…”

Clinical Efficacy of the Robot-Assisted Laparoscopic Myomectomy (A Review of the Literature)

“…(2012) провели ретроспективное исследование с целью сравнительного анализа роботизированной и лапаротомной миомэктомии у пациенток репродуктивного возраста с размером по крайней мере одного из узлов более 6 см. По их данным, статистически значимая разница в величине интраоперационной кровопотери отсутствовала (387 и 397 мл соответственно, p = 0,71) [21]. K. Nash и соавт.…”