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publication name Robotic-Assisted, Laparoscopic, and Abdominal Myomectomy: A Comparison of Surgical Outcomes
Authors Ehab E. Barakat, MD, Mohamed A. Bedaiwy, MD, Stephen Zimberg, MD, Benjamin Nutter, Mohsen Nosseir, MD, and Tommaso Falcone, MD
year 2011
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journal
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Local/International International
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Abstract

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

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