Comparison between Robotic Single-Site and Laparoendoscopic Single-Site Hysterectomy: Multicentric Analysis of Surgical Outcomes
Barbara Gardella,
Mattia Dominoni,
Andrea Gritti,
Liliana Mereu,
Stefano Bogliolo,
Marco Torella,
Francesco Fanfani,
Mario Malzoni,
Aldina Couso,
Alvaro Zapico,
Ignacio Zapardiel
Affiliations
Barbara Gardella
Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy
Mattia Dominoni
Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy
Andrea Gritti
Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy
Liliana Mereu
Maternal and Child Department, Obstetrics and Gynecology, Cannizzaro Hospital, 95122 Catania, Italy
Stefano Bogliolo
Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy
Marco Torella
Obstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy
Francesco Fanfani
Gynecologic Oncology Unit, Department of Women, Children and Public Health Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
Mario Malzoni
Endoscopica Malzoni-Center for Advanced Endoscopic Gynecological Surgery, 83100 Avellino, Italy
Aldina Couso
Gynecology Department, Principe de Asturias University Hospital, 28805 Madrid, Spain
Alvaro Zapico
Gynecology Department, Principe de Asturias University Hospital, 28805 Madrid, Spain
Ignacio Zapardiel
Gynecologic Oncology Unit, La Paz University Hospital, 28046 Madrid, Spain
Background and Objectives: Minimally invasive surgery, especially the single-site approach, has demonstrated several advantages in the gynaecological setting. The aim of this study was to compare the surgical outcomes of single-site hysterectomy for benign conditions between the traditional laparoendoscopic approach and robotic surgery. Materials and Methods: We consecutively enrolled 278 women between 2012 and 2019 in this multicentre trial. The patients underwent robotic single-site hysterectomy (RSSH) or laparoendoscopic single-site hysterectomy (LESSH) procedures with or without salpingo-oophorectomy for benign indications. Surgical parameters and surgical outcomes were analysed. Results: There was a statistical difference between the two surgical techniques for total operative time (p = 0.001), set-up time (p = 0.013), and anaesthesia time (p = 0.001). Significant differences in intraoperative blood loss were observed (p = 0.001), but no differences were shown for blood transfusion or intraoperative or postoperative complications in the two groups. Conclusions: LESSH outperformed RSSH in terms of surgical performance and clinical outcomes, with no differences in adverse events.
