Robotic-assisted vs. laparoscopic and abdominal myomectomy for treatment of uterine fibroids: a meta-analysis |
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| Authors: | Tichun Wang Haiying Tang Zhengxiang Xie |
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| Affiliation: | 1. Laboratory of Biomedical Engineering of Basic Medical School, Chongqing Medical University, Chongqing, China;2. State Key Laboratory of Ultrasound Engineering in Medicine, Co-founded by Chongqing and the Ministry of Science and Technology, Biomedical Engineering School of Chongqing Medical University, Chongqing, China |
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| Abstract: | Uterine fibroids are extremely common uterine neoplasms. However, whether robotic-assisted laparoscopic myomectomy (RALM) is superior to laparoscopic myomectomy (LM) or abdominal myomectomy (AM) is still debatable. Consequently, we aimed to compare the three currently major surgical techniques used in patients with uterine fibroids. We searched the PubMed, the Cochrane Library, MEDLINE, Embase, and Web of Science databases up to April 22, 2017. The meta-analysis included 20 studies involving 2852 patients. The number of complications [odd ratio (OR) 0.52, p?=?0.009], estimated blood loss (EBL) [weighted mean difference (WMD) ?33.03, p?=?0.02], conversions (OR 0.34, p?=?0.03), and postoperative bleeding (OR 0.18, p?=?0.03) in RALM cases was significantly less than that for LM. The numbers of complications (OR 0.56, p?=?0.03), length of hospital stay (WMD ?1.74, p?p?p?p?
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| Keywords: | Robotic-assisted laparoscopic myomectomy laparoscopy laparotomy uterine fibroids |
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