Table 2.
Summary statistics of perioperative outcomes by energy device type and procedure
| Procedures/perioperative outcomes | Energy sources (pooled mean/standard deviation) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| CM | CB | CE | LS | PK | ENS | ALAN | MS | TB | HS | CO2 laser | |
| Laparoscopic hysterectomy | |||||||||||
| Blood loss (mL) | NA | 193.52 184.25 (n = 243) | 170 87.5 (n = 34) | 100.2 124.6 (n = 502) | 200.91 42.02 (n = 138) | 98.59 76.3 (n = 200) | 114.40 22.32 (n = 50) | 160 21.75 (n = 37) | NA | 148.25 47.06 (n = 186) | NA |
| Mean operative time (min) | NA | 118.48 29.06 (n = 243) | 90.6 30 (n = 34) | 112.53 61.43 (n = 395) | 107.01 48.03 (n = 138) | 83.32 32.6 (n = 200) | 56.90 12.45 (n = 50) | NA | NA | 105.38 22.39 (n = 186) | NA |
| Hospital stay (days) | NA | 3.55 1.07 (n = 170) | 3.3 1.25 (n = 34) | 2.24 0.98 (n = 318) | 4.28 2.28 (n = 88) | 1.4 0.5 (n = 15) | NA | 4 0.25 (n = 37) | NA | 1.85 0.79 (n = 186) | NA |
| Laparoscopic supracervical hysterectomy | |||||||||||
| Blood loss (mL) | NA | NAa | NA | NAa | NA | NAa | NA | NA | NA | NAa | NA |
| Mean operative time (min) | NA | 86.3 35.34 (n = 80) | NA | 64.15 12.02 (n = 20) | NA | 78.18 33.96 (n = 80) | NA | NA | NA | 138.25 23.41 (n = 20) | NA |
| Hospital stay (days) | NA | 2.17 0.47 (n = 80) | NA | 2.17 0.47 (n = 20) | NA | 2.01 0.44 (n = 80) | NA | NA | NA | 2.0 1.52 (n = 20) | NA |
| Laparoscopically assisted vaginal hysterectomy | |||||||||||
| Blood loss (mL) | NA | NA | 231.5 141.96 (n = 63) | NA | 196.8 143.7 (n = 31) | NA | NA | NA | NA | 194.2 15 (n = 27) | NA |
| Mean operative time (min) | NA | NA | 121.3 53.45 (n = 63) | NA | 87.6 28.1 (n = 31) | NA | NA | NA | NA | 155.1 16.25 (n = 27) | NA |
| Hospital stay (days) | NA | NA | 3.61 1.66 (n = 63) | NA | 3.2 1.0 (n = 31) | NA | NA | NA | NA | 3.6 1.25 (n = 27) | NA |
| Hysterectomy via transvaginal notes | |||||||||||
| Blood loss (mL) | NA | 310.60 220.60 (n = 35) | NA | 269.23 232.47 (n = 36) | NA | NA | NA | NA | NA | NA | NA |
| Mean operative time (min) | NA | 99.54 31.96 (n = 35) | NA | 88.58 30.21 (n = 36) | NA | NA | NA | NA | NA | NA | NA |
| Hospital stay (days) | NA | 3.37 0.77 (n = 35) | NA | 3.34 0.54 (n = 36) | NA | NA | NA | NA | NA | NA | NA |
| Laparoscopic hysterectomy + lymph node dissection | |||||||||||
| Blood loss (mL) | NA | 384.01 471.01 (n = 72) | 144.1 170.6 (n = 77) | 176.1 78.2 (n = 34) | 397.4 275 (n = 38) | NA | NA | NA | 50 57.5 (n = 25) | 176.44 95.45 (n = 97) | NA |
| Mean operative time (min) | NA | 198.01 56.31 (n = 72) | 132.37 35.8 (n = 77) | 134.2 29.7 (n = 34) | 171.8 50.5 (n = 38) | NA | NA | NA | 85 25 (n = 25) | 155.54 28.84 (n = 97) | NA |
| Hospital stay (days) | NA | 4.63 3.45 (n = 72) | 3.83 1.28 (n = 77) | 1.9 0.9 (n = 34) | 7.5 2.5 (n = 38) | NA | NA | NA | 3 0.75 (n = 25) | 2.35 1.26 (n = 97) | NA |
| Colpotomy (total laparoscopic hysterectomy) | |||||||||||
| Blood loss (mL) (during all TLH) | 57.74 27.12 (n = 59) | NA | NA | NA | NA | NA | NA | NA | NA | 41.67 29.04 (n = 59) | NA |
| Mean operative time (min) | 6.99 1.44 (n = 59) | NA | NA | NA | NA | NA | NA | NA | NA | 9.03 2.33 (n = 59) | NA |
| Hospital stay (days) | 2.3 0.6 (n = 59) | NA | NA | NA | NA | NA | NA | NA | NA | 2.2 0.5 (n = 59) | NA |
| Lateral thermal spread: distance (mm) | 254.76 8.25 (n = 59) | NA | NA | NA | NA | NA | NA | NA | NA | 204.47 2.61 (n = 59) | NA |
| Laparoscopic myomectomy | |||||||||||
| Blood loss (mL) | NA | 212.99 215.7 (n = 531) | 189.8 172.6 (n = 751) | 192.44 171.33 (n = 481) | 190.4 178.5 (n = 97) | NA | NA | NA | NA | 208.3 184.26 (n = 191) | NA |
| Mean operative time (min) | NA | 114.44 51.66 (n = 531) | 101.8 43.1 (n = 751) | 111.75 42.06 (n = 481) | 117.8 37.1 (n = 97) | NA | NA | NA | NA | 104.3 47.74 (n = 191) | NA |
| Hospital stay (days) | NA | 2.57 0.91 (n = 531) | 2.57 0.83 (n = 751) | 2.10 0.54 (n = 481) | 2.7 0.7 (n = 97) | NA | NA | NA | NA | 2.11 0.52 (n = 191) | NA |
| Robot-assisted laparoscopic myomectomy | |||||||||||
| Blood loss (mL) | NA | NA | NA | NA | NA | NA | NA | NA | NA | 180.7 218.13 (n = 151) | 96.2 115 (n = 85) |
| Mean operative time (min) | NA | NA | NA | NA | NA | NA | NA | NA | NA | 195.9 56.5 (n = 151) | 182.2 60.3 (n = 85) |
| Hospital stay (days) | NA | NA | NA | NA | NA | NA | NA | NA | NA | 0.64 1.31 (n = 151) | 0.15 0.39 (n = 85) |
| Salpingo-oophorectomy | |||||||||||
| Blood loss (mL) | NA | 33.3 65..7 (n = 49) | NA | 38 69 (n = 51) | NA | NA | NA | NA | NA | NA | NA |
| Mean operative time (min) | NA | 58.6 23.2 (n = 49) | NA | 54.6 29.6 (n = 51) | NA | NA | NA | NA | NA | NA | NA |
| Hospital stay (days) | NA | 1.2 1.5 (n = 49) | NA | 1.3 2.2 (n = 51) | NA | NA | NA | NA | NA | NA | NA |
CB conventional bipolar, CE conventional electrosurgery, CM conventional monopolar, ENS EnSeal, HS harmonic scalpel, LND lymph node dissection, LS LigaSure, MS MarSeal, NA not applicable/assessed/available, NOTES natural orifice transluminal endoscopic surgery, PK plasmakinetic system, TB thunderbeat
aHeterogeneous outcome assessments across studies precluded pooled analysis