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Laparoscopy vs. Robotic Surgery for Endometriosis (LAROSE): a multicenter, randomized, controlled trial
Enrique Soto1, Thanh Ha Luu2, Xiaobo Liu3
1Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio; South Florida Institute for Reproductive Medicine, Miami, Florida; Department of Obstetrics and Gynecology, Herbert Wertheim College of Medicine at Florida International University, Miami, Florida.
Objective:
To determine whether the use of the robot for surgical treatment of endometriosis is better than traditional laparoscopy in terms of operative length, perioperative parameters, and quality of life outcomes.
Design:
Multicenter, randomized clinical trial.
Setting:
University teaching hospitals.
Patient(S):
Women aged >18 years with suspected endometriosis who elected to undergo surgical management.
Intervention(S):
Randomization to conventional or robot-assisted laparoscopic removal of endometriosis.
Main Outcome Measure(S):
The primary outcome measured was operative time. Secondary outcomes were perioperative complications and quality of life.
Result(S):
The mean operative time for robotic vs. laparoscopic surgery for endometriosis was 106.6 ± 48.4 minutes vs. 101.6 ± 63.2 minutes. There were no differences in blood loss, intraoperative or postoperative complications, or rates of conversion to laparotomy in the two arms. Both groups reported significant improvement on condition-specific quality of life outcomes at 6 weeks and 6 months.
Conclusion(S):
There were no differences in perioperative outcomes between robotic and conventional laparoscopy.
Clinical Trial Registration Number:
NCT01556204.