OBJECTIVE: To compare the surgical outcomes of robotassisted
laparoscopic myomectomy (robot-assisted),
standard laparoscopic myomectomy (laparoscopic), and
open myomectomy (abdominal).
METHODS: Myomectomy patients were identified from
the case records of the Cleveland Clinic and stratified
into three groups. Operative and immediate postoperative
outcomes were compared. Data analysis was performed
using analysis of variance, Kruskal-Wallis analysis
of ranks,
2, and Fisher exact tests where appropriate.
RESULTS: From a total of 575 myomectomies, 393
(68.3%) were abdominal, 93 (16.2%) were laparoscopic,
and 89 (15.5%) were robot-assisted. The three groups
were comparable regarding the size, number, and location
of myomas after adjusting for body mass index.
Significantly heavier myomas were removed in the robotassisted
group (223 [85.25, 391.50] g) compared with the
standard group (96.65 [49.50, 227.25] g, P