Table 3.
Perioperative Morbidity, Mortality, and Resource Usage of Laparoscopic and Robotic Hysterectomy
| Perioperative Morbidity, Mortality, and Resource Usage | Laparoscopic Hysterectomy |
Robotic Hysterectomy |
P | ||
|---|---|---|---|---|---|
| No. of Patients | % | No. of Patients | % | ||
| All patients | 1,027 | 41.7 | 1,437 | 58.3 | |
| Any complication | 101 | 9.8 | 116 | 8.1 | .13 |
| Intraoperative complications | 41 | 4.0 | 43 | 3.0 | .18 |
| Bladder injury | 10 | 1.0 | 5 | 0.3 | .05 |
| Ureteral injury | 7 | 0.7 | 6 | 0.4 | .37 |
| Intestinal injury | 5 | 0.5 | 8 | 0.6 | .81 |
| Vascular injury | 1 | 0.1 | 2 | 0.1 | .77 |
| Other operative injury | 32 | 3.1 | 31 | 2.2 | .14 |
| Surgical site complications | 18 | 1.8 | 41 | 2.9 | .08 |
| Wound complication | 15 | 1.5 | 25 | 1.7 | .59 |
| Abscess | 3 | 0.3 | 2 | 0.1 | .41 |
| Hemorrhage | 0 | — | 0 | — | |
| Bowel obstruction | 10 | 1.0 | 29 | 2.0 | .41 |
| Medical complications | 50 | 4.9 | 42 | 2.9 | .01 |
| Venous thromboembolism | 4 | 0.4 | 11 | 0.8 | .24 |
| Myocardial infarction | 0 | — | 0 | — | |
| Cardiopulmonary arrest | 1 | 0.1 | 0 | — | .24 |
| Respiratory failure | 33 | 3.2 | 31 | 2.2 | .10 |
| Renal failure | 12 | 1.2 | 8 | 0.6 | .10 |
| Stroke | 2 | 0.2 | 0 | — | .09 |
| Bacteremia/sepsis | 3 | 0.3 | 2 | 0.1 | .41 |
| Shock | 7 | 0.7 | 5 | 0.3 | .24 |
| Pneumonia | 3 | 0.3 | 2 | 0.1 | .41 |
| Resource usage | |||||
| Subcutaneous emphysema | 2 | 0.2 | 2 | 0.1 | .74 |
| Transfusion | 33 | 3.2 | 31 | 2.2 | .10 |
| Reoperation | 8 | 0.8 | 3 | 0.2 | .04 |
| Length of stay > 2 days | 117 | 11.4 | 142 | 9.9 | .23 |
| Readmission | 0 | — | 2 | 0.1 | |
| Mean hospital cost, $ | 8,996 | 10,618 | < .001 | ||
| Nonroutine discharge | 20 | 1.9 | 22 | 1.5 | .62 |
| Death | 2 | 0.2 | 2 | 0.1 | .74 |