Robotic Single-Site Plus One-Port Myomectomy versus Robotic Single-Site Plus Two-Port Myomectomy: A Propensity Score...

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Robotic Surgery Advancements
• Surgical Technique Comparison

Background:

• Robotic myomectomy offers benefits over traditional methods.
• Robotic single-site plus two-port myomectomy (RSTM) reduced port sites compared to conventional robotic multi-site myomectomy (CRM).
• Robotic single-site plus one-port myomectomy (RSOM) further minimizes incision sites for improved cosmetic outcomes.

Purpose of the Study:

• To compare the methodologies and surgical outcomes of RSOM and RSTM.
• To evaluate the efficacy of RSOM in reducing operative time and improving patient cosmetic satisfaction.
• To assess the feasibility of a single-port approach in robotic myomectomy.

Main Methods:

• Retrospective review of medical records for 230 patients undergoing RSOM and 146 patients undergoing RSTM.
• Propensity score matching (PSM) analysis to compare surgical outcomes between the two groups.
• Statistical comparison of operative time, hospital stay, and other relevant surgical parameters.

Main Results:

• RSOM demonstrated a significantly shorter operative time (135.1±57.4 min vs. 149.9±46.2 min, p=0.009) in the overall cohort.
• Post-PSM analysis confirmed a shorter operative time for RSOM (129.2±49.3 min vs. 148.7±46.3 min, p=0.001).
• RSOM was also associated with a shorter hospital stay (5.2±0.5 days vs. 5.4±0.7 days, p=0.033).

Conclusions:

• RSOM is associated with reduced operative time compared to RSTM.
• The findings suggest RSOM is a viable and potentially more efficient surgical option.
• Further prospective and comparative studies are warranted to fully elucidate the benefits of RSOM relative to RSTM.