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Updated: May 11, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

Postoperative pain and recovery after conventional laparoscopy compared with robotically assisted laparoscopy.

Lena El Hachem¹, Uchenna C Acholonu, Farr R Nezhat

¹Department of Obstetrics and Gynecology, St. Luke's-Roosevelt Hospital Center, New York, New York.

Obstetrics and Gynecology

|May 3, 2013

Summary

Robotically assisted laparoscopy offers comparable postoperative pain relief to conventional laparoscopy in gynecologic surgery. Both methods demonstrate similar outcomes in pain scores and narcotic use, supporting their equivalence for patient recovery.

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Area of Science:

Minimally Invasive Surgery
Gynecologic Surgery
Pain Management

Background:

Conventional laparoscopy and robotically assisted laparoscopy are common surgical techniques in gynecology.
Assessing postoperative pain is crucial for evaluating surgical outcomes and patient recovery.

Purpose of the Study:

To compare postoperative pain between conventional laparoscopic surgery and robotically assisted laparoscopic surgery in gynecologic procedures.
To evaluate subjective and objective measures of pain and recovery.

Main Methods:

Prospective, nonrandomized analysis of 91 patients undergoing either conventional or robotically assisted laparoscopy.
Postoperative pain assessed using the Numeric Rating Scale (NRS) and narcotic use (morphine sulfate equivalents).
Primary outcome: NRS pain score on the first postoperative day.

Main Results:

No significant difference in mean NRS pain scores over time (P=.499) or mean narcotic requirements (P=.393) between the two groups.
Robotically assisted laparoscopy group had a longer median hospital stay (3 vs. 2 days, P<.001) and return to normal activities (21 vs. 13 days, P=.021).
Groups were similar in baseline characteristics, though robotically assisted laparoscopy patients were older with higher BMI.

Conclusions:

Robotically assisted laparoscopy is equivalent to conventional laparoscopy regarding subjective and objective measures of postoperative pain.
While pain management is similar, differences in hospital stay and return to normal activities warrant consideration.