Table 3. Odds of Severe Complications Before (Group 1) or After (Group 2) Introduction of MIRS.
Procedure and Group | Unadjusted OR (95% CI) | Adjusted OR (95% CI) |
---|---|---|
Overall | ||
Group 1 | 1.18 (0.96-1.46) | 1.39 (1.11-1.74)a |
Group 2 | 1 [Reference] | 1 [Reference] |
TAH | ||
Group 1 | 0.64 (0.49-0.84) | 0.79 (0.59-1.06)a |
Group 2 | 1 [Reference] | 1 [Reference] |
MIS | ||
Group 1 | 1.31 (0.82-2.09) | 1.42 (0.85-2.37)a |
Group 2 | 1 [Reference] | 1 [Reference] |
Group 2 | ||
TAH | 3.16 (2.20-4.56) | 3.87 (2.52-5.93)b |
MILS | 1.32 (0.83-2.11) | 1.50 (0.99-2.27)b |
MIRS | 1 [Reference] | 1 [Reference] |
Abbreviations: MILS, minimally invasive laparoscopic surgery; MIRS, minimally invasive robotic surgery; MIS, minimally invasive surgery; OR, odds ratio; TAH, total abdominal hysterectomy.
Adjusted for age, lymphadenectomy, histopathologic risk, American Society of Anesthesiologists score, intra-abdominal adhesions, and body mass index. The stratified comparison of MIS was underpowered for the adjustments because women in MIS group 1 were highly selected and the number of complications was low (nā=ā24).
Adjusted for age, lymphadenectomy, American Society of Anesthesiologists score, body mass index, socioeconomic status, and surgical year. The analysis model was not influenced significantly by histopathologic risk, intra-abdominal adhesions, or smoking status.