TABLE 2.
References | No. Patients | Findings |
---|---|---|
Gehrig et al34 | 49 RA-TLH 32 TLH |
Examined outcomes in morbidly obese patients Robotic group had shorter OR time, lower EBL, LOS, and increase LN counts when compared with laparoscopy group |
Walker et al2,4 | 920 TAH 1696 TLH |
Landmark RCT demonstrated superiority of laparoscopy over laparotomy in endometrial cancer staging TLH lower EBL, LOS, and fewer postoperative complications Recurrence and 5-year survival rates similar to laparotomy |
Gaia et al30 | 606 TAH 396 TLH 589 RA-TLH |
Systematic review of 8 studies RA-TLH lower EBL than TLH but otherwise 2 approaches have similar Complication rates similar across all 3 approaches |
Chan et al35 | 567 TAH 98 TLH 422 RA-TLH |
Analysis using National Inpatient Sample Complication rates TAH 23%, TLH 13%, and RA-TLH 8% TLH and RA-TLH had fewer complications and shorter LOS than laparotomy patients Robotics more expensive than laparoscopy |
EBL indicates estimated blood loss; LN, lymph node; LOS, length of stay; RA-TLH, robotic-assisted hysterectomy; RCT, randomized controlled trial; TAH, total abdominal hysterectomy; TLH, total laparoscopic hysterectomy.