Table 3. Outcomes in Patients Undergoing Robotic or Laparoscopic Hysterectomy, United States, 2009-2010, Propensity-Matched Sample.
| Characteristic | HyRobotic sterectomy n=7,788 | Laparoscopic Hysterectomy n =7,788 | Relative Risk (95% CI) | P | ||
|---|---|---|---|---|---|---|
| n | % | n | % | |||
| Any complication | 685 | 8.80 | 689 | 8.85 | 0.99 (0.89 – 1.09) | 0.910 |
| In-hospital death | * | 0.03 | 0 | 0.00 | N/A | 0.249 |
| Surgical complications | 364 | 4.67 | 415 | 5.33 | 0.87 (0.76 – 1.01) | 0.060 |
| Foreign body left during procedure | * | 0.01 | * | 0.05 | 0.25 (0.02–2.23) | 0.374 |
| Iatrogenic Pneumothorax | * | 0.03 | 0 | 0.00 | N/A | 0.500 |
| Postoperative hemorrhage/hematoma | * | 0.13 | 17 | 0.22 | 0.58 (0.27 – 1.28) | 0.177 |
| Accidental Intraoperative laceration | 203 | 2.61 | 171 | 2.20 | 1.18 (0.97 – 1.45) | 0.093 |
| Wound disruption | 0 | 0.00 | 0 | 0.00 | N/A | 1.000 |
| Blood transfusion | 165 | 2.12 | 244 | 3.13 | 0.67 (0.55 – 0.82) | <0.001 |
| Postoperative medical complications | 372 | 4.78 | 339 | 4.35 | 1.09 (0.95 – 1.26) | 0.205 |
| Respiratory failure | 11 | 0.14 | * | 0.13 | 1.10 (0.46 – 2.58) | 0.827 |
| Pulmonary embolism or deep vein thrombosis | * | 0.13 | 15 | 0.19 | 0.66 (0.29 – 1.48) | 0.316 |
| Sepsis | * | 0.05 | * | 0.01 | 4.0 (0.44 -35.7) | 0.374 |
| Acute myocardial infarction | * | 0.04 | * | 0.01 | 3.0 (0.31 – 28.8) | 0.625 |
| Acute renal failure | 19 | 0.24 | 15 | 0.19 | 1.26 (0.64 – 2.49) | 0.492 |
| Stroke | * | 0.03 | * | 0.01 | 2.0 (0.18 – 22.05) | 1.000 |
| Ileus | 103 | 1.32 | 82 | 1.05 | 1.25 (0.94 – 1.67) | 0.120 |
| Tracheal intubation | 24 | 0.31 | 13 | 0.17 | 1.84 (0.94 – 3.62) | 0.070 |
| Pneumonia | 39 | 0.50 | 18 | 0.23 | 2.2 (1.24 – 3.78) | 0.005 |
| Atelectasis | 77 | 0.99 | 67 | 0.86 | 1.1 (0.82 – 1.59) | 0.402 |
| Fever | 20 | 0.16 | 14 | 0.18 | 1.4 (0.72 – 2.82) | 0.303 |
| Urinary tract infection | 48 | 0.62 | 65 | 0.83 | 0.7 (0.50 – 1.07) | 0.108 |
| Urinary retention | 90 | 1.16 | 106 | 1.36 | 0.8 (0.64 – 1.12) | 0.250 |
| Length of hospital stay (median, IQR) | 1 | 1-2 | 1 | 1-2 | 0 (0.00 – 0.00) | 0.939 |
| Total hospital costs, $ (median, IQR) | 978 8 | 7105 -12780 | 729 9 | 5650 -9583 | 2489 (2313 – 2664) | <0.001 |
N/A, not applicable; IQR, interquartile range.
*
Number of observations in the cell is less than or equal to 10. Actual numbers not published to be compliant with the Data Use Agreement for the Nationwide Databases from the Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality (http://www.hcup-us.ahrq.gov/team/NationwideDUA.jsp).