Clinical comparison of robotic-assisted and traditional laparoscopic radical hysterectomy

Objective By comparing the clinical data of traditional laparoscopic radical hysterectomy (LRHPL) and robotic-assisted laparoscopic radical hysterectomy, to explore the advantages of robotic surgery system in the application of LRHPL. Methods A retrospective analysis of patients undergoing robotic-assisted LRHPL (n=23) was carried out in Jilin Province Tumor Hospital Department 2 of Gynecologic Oncology from Oct. 2014 to Dec. 2015. 30 patients undergoing LRHPL (n=30) during the same period was selected as the control group. For the caparison of the two groups, the operation duration, blood loss during operation, 24 hours postoperative drainage volume, postoperative bowel recovery time and the length of postoperative hospitalization were observed. Results Compared with LRHPL group, the patients of robotic laparoscopic group showed significantly reduced blood loss, shorter postoperative bowel recovery time and hospital stay; while their average operation duration was slightly longer. The two sets of data were significantly different [(60.8 ± 38.3) ml vs (79.7 ± 49.4) ml, (1.89 ± 0.35) d vs (2.06 ± 0.26) d, (8.89 ± 3.35) d vs (11.2 ± 5.18) d, (152.0 ± 27.7) min vs (144.0 ± 35.2) min](P 0.05). Conclusions Robotic-assisted laparoscopy is feasible and safe, worthy of promotion for less bleeding, less damage, faster recovery, less pain for patients and shortens the mean length of stay. Key words: Robotic-assisted; Laparoscopy; Radical hysterectomy