دورية أكاديمية
Comparison of postoperative pain in robotic and laparoscopic myomectomy: a retrospective cohort study.
| العنوان: | Comparison of postoperative pain in robotic and laparoscopic myomectomy: a retrospective cohort study. |
|---|---|
| المؤلفون: | Wu YC; Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, No. 707, Chung-Yang Rd., Sec. 3, Hualien, 970, Taiwan., Hong MK; Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, No. 707, Chung-Yang Rd., Sec. 3, Hualien, 970, Taiwan., Ding DC; Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, No. 707, Chung-Yang Rd., Sec. 3, Hualien, 970, Taiwan. dah1003@yahoo.com.tw.; Institute of Medical Sciences, Tzu Chi University, Hualien, 970, Taiwan. dah1003@yahoo.com.tw. |
| المصدر: | Journal of robotic surgery [J Robot Surg] 2024 Sep 23; Vol. 18 (1), pp. 345. Date of Electronic Publication: 2024 Sep 23. |
| نوع المنشور: | Journal Article; Comparative Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: England NLM ID: 101300401 Publication Model: Electronic Cited Medium: Internet ISSN: 1863-2491 (Electronic) Linking ISSN: 18632483 NLM ISO Abbreviation: J Robot Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Springer |
| مواضيع طبية MeSH: | Robotic Surgical Procedures*/methods , Robotic Surgical Procedures*/adverse effects , Pain, Postoperative*/prevention & control , Pain, Postoperative*/etiology , Uterine Myomectomy*/methods , Uterine Myomectomy*/adverse effects , Laparoscopy*/methods , Laparoscopy*/adverse effects, Humans ; Retrospective Studies ; Female ; Adult ; Middle Aged ; Uterine Neoplasms/surgery ; Cohort Studies ; Operative Time ; Anti-Inflammatory Agents, Non-Steroidal/therapeutic use ; Anti-Inflammatory Agents, Non-Steroidal/administration & dosage ; Pain Measurement ; Length of Stay/statistics & numerical data ; Analgesics, Opioid/therapeutic use ; Analgesics, Opioid/administration & dosage ; Leiomyoma/surgery ; Blood Loss, Surgical/statistics & numerical data |
| مستخلص: | Gynecologic surgery with minimally invasive method using robotic or laparoscopic techniques has gained popularity for reducing perioperative discomfort and length of hospital stay. However, the debate over postoperative pain superiority between traditional laparoscopy and robotic surgery persist. This study compared the postoperative pain of patients within 24 h of robotic (RM) and laparoscopic myomectomy (LM). This retrospective cohort study included 24 and 53 patients who underwent RM and LM, respectively, between January 2019 and July 2023. The primary outcomes were the postoperative pain levels of patients within 24 h and the use and dosage of postoperative analgesia. Additional perioperative analgesia, including long-acting non-steroidal anti-inflammatory drugs (Dynastat) and abdominal nerve block, was also recorded. The secondary outcomes were blood loss and hospitalization duration. The patient characteristics were similar between the groups. Factors that could potentially increase pain, such as the number of ports (p < 0.0001), additional procedures (p = 0.0195), operative time (p < 0.0001), number of myomas (p = 0.0057), and the largest myoma size (p = 0.0086), were significantly higher in the RM group than in the LM group. However, there were no significantly different in the postoperative visual analog scale pain scores, use and dosage of ketorolac and opioid, and use of Dynastat and nerve block between the groups. Hospitalization duration and intraoperative blood loss were similar between the groups. RM and LM offer comparable postoperative pain outcomes, emphasizing the importance of patient-specific factors in decision-making regarding myomectomy techniques. (© 2024. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.) |
| References: | Berek JS (2019) Berek and Novak’s gynecology. Lippincott Williams and Wilkins. Micić J, Macura M, Andjić M et al (2024) Currently available treatment modalities for uterine fibroids. Medicina 60:868. (PMID: 10.3390/medicina600608683892948511205795) Takmaz O, Ozbasli E, Gundogan S et al (2018) Symptoms and health quality after laparoscopic and robotic myomectomy. JSLS. https://doi.org/10.4293/JSLS.2018.00030. (PMID: 10.4293/JSLS.2018.00030305241836261743) Księżakowska-Łakoma K, Żyła M, Wilczyński J (2016) Removal of uterine fibroids by mini-laparotomy technique in women who wish to preserve their uterus and fertility. Wideochir Inne Tech Maloinwazyjne 10:561–566. (PMID: 26865893) Jin C, Hu Y, Chen X-C et al (2009) Laparoscopic versus open myomectomy–a meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol 145:14–21. (PMID: 10.1016/j.ejogrb.2009.03.00919398260) Iavazzo C, Mamais I, Gkegkes ID (2016) Robotic assisted vs laparoscopic and/or open myomectomy: systematic review and meta-analysis of the clinical evidence. Arch Gynecol Obstet 294:5–17. (PMID: 10.1007/s00404-016-4061-626969650) YudhaPratama Putra P, Prameswari AS, Ma’roef M, et al (2021) Laparoscopic myomectomy versus open myomectomy in uterine fibroid treatment: a meta-analysis. Lapar Endos Rob Surg 4:66–71. Gobern JM, Rosemeyer CJ, Barter JF, Steren AJ (2013) Comparison of robotic, laparoscopic, and abdominal myomectomy in a community hospital. JSLS 17:116–120. (PMID: 10.4293/108680812X13517013317473237433823662728) Sheng Y, Hong Z, Wang J et al (2023) Efficacy and safety of robot-assisted laparoscopic myomectomy versus laparoscopic myomectomy: a systematic evaluation and meta-analysis. World J Surg Oncol 21:230. (PMID: 10.1186/s12957-023-03104-83750773510375654) Betcher RE, Chaney JP, Lacy PR et al (2014) Analysis of postoperative pain in robotic versus traditional laparoscopic hysterectomy. J Robot Surg 8:35–41. (PMID: 10.1007/s11701-013-0418-z27637237) Turner TB, Habib AS, Broadwater G et al (2015) Postoperative pain scores and narcotic use in robotic-assisted versus laparoscopic hysterectomy for endometrial cancer staging. J Minim Invasive Gynecol 22:1004–1010. (PMID: 10.1016/j.jmig.2015.05.00325967934) Tanabe S, Yamamoto R, Sugino S et al (2023) Comparison of postoperative analgesia use between robotic and laparoscopic total hysterectomy: a retrospective cohort study. J Robot Surg 17:1669–1674. (PMID: 10.1007/s11701-023-01581-33695213310374470) Nilsson W, Schmidt M, Turner L, Shepherd J (2023) Comparing postoperative pain with laparoscopic versus robotic sacrocolpopexy. J Minim Invasive Gynecol. https://doi.org/10.1016/j.jmig.2023.11.016. (PMID: 10.1016/j.jmig.2023.11.01638013160) Hong MK, Wei Y-C, Chu T-Y et al (2020) Safety and efficacy of contained manual morcellation during laparoscopic or robotic gynecological surgery. Int J Gynaecol Obstet 148:168–173. (PMID: 10.1002/ijgo.1306231755560) Paraiso MFR, Jelovsek JE, Frick A et al (2011) Laparoscopic compared with robotic sacrocolpopexy for vaginal prolapse: a randomized controlled trial. Obstet Gynecol 118:1005–1013. (PMID: 10.1097/AOG.0b013e318231537c21979458) Özbaşlı E, Güngör M (2021) Comparison of perioperative outcomes among robot-assisted, conventional laparoscopic, and abdominal/open myomectomies. J Turk Ger Gynecol Assoc 22:312–318. (PMID: 10.4274/jtgga.galenos.2021.2021.0049346348588666999) Griffin L, Feinglass J, Garrett A et al (2013) Postoperative outcomes after robotic versus abdominal myomectomy. JSLS 17:407–413. (PMID: 10.4293/108680813X13693422521557240180773771759) AAGL Advancing Minimally Invasive Gynecology Worldwide (2013) AAGL position statement: robotic-assisted laparoscopic surgery in benign gynecology. J Minim Invasive Gynecol 20:2–9. (PMID: 10.1016/j.jmig.2012.12.007) Chiu L-H, Chen C-H, Tu P-C et al (2015) Comparison of robotic surgery and laparoscopy to perform total hysterectomy with pelvic adhesions or large uterus. J Minim Access Surg 11:87–93. (PMID: 10.4103/0972-9941.147718255986064290126) Weinberg L, Rao S, Escobar PF (2011) Robotic surgery in gynecology: an updated systematic review. Obstet Gynecol Int 2011:852061. (PMID: 10.1155/2011/852061221909483236390) Hutchins J, Argenta P, Berg A et al (2019) Ultrasound-guided subcostal transversus abdominis plane block with liposomal bupivacaine compared to bupivacaine infiltration for patients undergoing robotic-assisted and laparoscopic hysterectomy: a prospective randomized study. J Pain Res 12:2087–2094. (PMID: 10.2147/JPR.S193872313087346614855) |
| فهرسة مساهمة: | Keywords: Laparoscopy; Myomectomy; Postoperative pain; Robotic surgery; Visual analog scale |
| المشرفين على المادة: | 0 (Anti-Inflammatory Agents, Non-Steroidal) 0 (Analgesics, Opioid) |
| تواريخ الأحداث: | Date Created: 20240923 Date Completed: 20240923 Latest Revision: 20240923 |
| رمز التحديث: | 20240923 |
| DOI: | 10.1007/s11701-024-02105-3 |
| PMID: | 39311983 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1863-2491 |
|---|---|
| DOI: | 10.1007/s11701-024-02105-3 |