Efficacy and safety of robotic-assisted laparoscopic myomectomy for the treatment of uterine fibroids: an updated literature review
Eficacia y seguridad de la miomectomía laparoscópica asistida por robot para el tratamiento de los fibromas uterinos: una revisión de la literatura actualizada
DOI:
https://doi.org/10.56183/iberojhr.v4i2.658Palavras-chave:
robotic-assisted myomectomy. uterine fibroids. surgical outcomes. laparoscopic myomectomy. safety.Resumo
During reproductive years, uterine fibroids are often benign tumors that may have a serious impact on a woman's health. In place of conventional laparoscopic (LM) and abdominal myomectomy (AM) techniques for the treatment of these fibroids, robotic-assisted laparoscopic myomectomy (RALM) is showing promise. This narrative evaluation assesses RALM's safety and effectiveness in comparison to LM and AM. A thorough literature search was carried out with an emphasis on research published between 2018 and 2024 in PubMed, Google Scholar, and Scopus. Hospital stay, surgical complications, operational time, and intraoperative blood loss are among the key outcomes evaluated. In major findings, the review shows that robotic-assisted laparoscopic myomectomy (RALM) performs better than conventional laparoscopic (LM) and abdominal myomectomy (AM) procedures. Comparing RALM to LM and AM, fewer blood transfusions, shorter hospital stays, and less intraoperative blood loss are all related with this approach. Longer operating periods are associated with RALM, but the procedure has a reduced rate of postoperative problems and fewer conversions to open surgery. The lengthier treatment time and increased expenses associated with RALM are still noteworthy factors, despite the advantages it offers in terms of safety and recovery. Therefore, RALM is a safe and efficient surgical alternative for treating uterine fibroids that has a significant positive impact on patient outcomes. To increase accessibility and use of robotic technology, future research should concentrate on cost-effectiveness, long-term efficacy, and technological breakthroughs.
Referências
Bedient, C. E., Magrina, J. F., Noble, B. N., & Kho, R. M. (2009). Comparison of robotic and laparoscopic myomectomy. American Journal of Obstetrics and Gynecology, 201(6), 566.e1-566.e5. https://doi.org/10.1016/J.AJOG.2009.05.049
Chen, W., Ma, J., Yang, Z., Han, X., Hu, C., Wang, H., Peng, Y., Zhang, L., & Jiang, B. (2024). Robotic-assisted laparoscopic versus abdominal and laparoscopic myomectomy: A systematic review and meta-analysis. International Journal of Gynecology & Obstetrics, 166(3), 994–1005. https://doi.org/10.1002/IJGO.15485
Drayer, S. M., & Catherino, W. H. (2015). Prevalence, morbidity, and current medical management of uterine leiomyomas. International Journal of Gynecology and Obstetrics, 131(2), 117–122. https://doi.org/10.1016/J.IJGO.2015.04.051
Flyckt, R., Coyne, K., & Falcone, T. (2017). Minimally Invasive Myomectomy. Clinical Obstetrics and Gynecology, 60(2), 252–272. https://doi.org/10.1097/GRF.0000000000000275
Geller, E. J., & Wu, J. M. (2013). Changing trends in surgery for stress urinary incontinence. Current Opinion in Obstetrics and Gynecology, 25(5), 404–409. https://doi.org/10.1097/GCO.0B013E3283648CDD
Iavazzo, C., Mamais, I., & Gkegkes, I. D. (2016). Robotic assisted vs laparoscopic and/or open myomectomy: systematic review and meta-analysis of the clinical evidence. Archives of Gynecology and Obstetrics, 294(1), 5–17. https://doi.org/10.1007/S00404-016-4061-6
Levy, B. S. (2008). Modern management of uterine fibroids. Acta Obstetricia et Gynecologica Scandinavica, 87(8), 812–823. https://doi.org/10.1080/00016340802146912
Morales, H. S. G., López, R. R., López, G. G. P., Mondragón, P. J. C., Cortés, D. V., Hernández, H. S., Guiot, M. L., & Camacho, F. M. R. (2022). Surgical approach to uterine myomatosis in patients with infertility: open, laparoscopic, and robotic surgery; results according to the quantity of fibroids. JBRA Assisted Reproduction, 26(1), 44. https://doi.org/10.5935/1518-0557.20210049
Mourad, A., Kamga-Ngande, C., Albaini, O., & Antaki, R. (2024). Enhancing surgical performance: the role of robotic surgery in myomectomies, a systematic review and metanalysis. Journal of Robotic Surgery, 18(1), 1–17. https://doi.org/10.1007/S11701-024-01953-3/METRICS
Özbaşlı, E., & Güngör, M. (2021). Comparison of perioperative outcomes among robot-assisted, conventional laparoscopic, and abdominal/open myomectomies. Journal of the Turkish German Gynecological Association, 22(4), 312. https://doi.org/10.4274/JTGGA.GALENOS.2021.2021.0049
Sheng, Y., Hong, Z., Wang, J., Mao, B., Wu, Z., Gou, Y., Zhao, J., & Liu, Q. (2023). Efficacy and safety of robot-assisted laparoscopic myomectomy versus laparoscopic myomectomy: a systematic evaluation and meta-analysis. World Journal of Surgical Oncology, 21(1), 1–11. https://doi.org/10.1186/S12957-023-03104-8/FIGURES/9
Sheu, B. C., Huang, K. J., Huang, S. C., & Chang, W. C. (2020). Comparison of uterine scarring between robot-assisted laparoscopic myomectomy and conventional laparoscopic myomectomy. Journal of Obstetrics and Gynaecology, 40(7), 974–980. https://doi.org/10.1080/01443615.2019.1678015
Sinha, R., Rupa, B., & Reddy, M. (2023). Beyond the learning curve: improving outcomes in Robotic myomectomy compared to laparoscopic myomectomy. Journal of Robotic Surgery, 17(3), 847–852. https://doi.org/10.1007/S11701-022-01470-1/METRICS
Sparic, R., Mirkovic, L., Malvasi, A., & Tinelli, A. (2016). Epidemiology of Uterine Myomas: A Review. International Journal of Fertility & Sterility, 9(4), 424. https://doi.org/10.22074/IJFS.2015.4599
Takmaz, O., Ozbasli, E., Gundogan, S., Bastu, E., Batukan, C., Dede, S., & Gungor, M. (2018). Symptoms and Health Quality After Laparoscopic and Robotic Myomectomy. JSLS : Journal of the Society of Laparoendoscopic Surgeons, 22(4). https://doi.org/10.4293/JSLS.2018.00030
Tsakos, E., Xydias, E. M., Ziogas, A. C., Sorrentino, F., Nappi, L., Vlachos, N., & Daniilidis, A. (2023). Multi-Port Robotic-Assisted Laparoscopic Myomectomy: A Systematic Review and Meta-Analysis of Comparative Clinical and Fertility Outcomes. Journal of Clinical Medicine, 12(12), 4134. https://doi.org/10.3390/JCM12124134/S1
Wang, L., Deng, J. ya, Li, K. peng, & Zhu, P. yu. (2023). A systematic review and meta-analysis comparing robotic single-site versus multi-port myomectomy. Journal of Robotic Surgery, 17(4), 1319–1328. https://doi.org/10.1007/S11701-023-01597-9/METRICS
Wang, T., Tang, H., Xie, Z., & Deng, S. (2018). Robotic-assisted vs. laparoscopic and abdominal myomectomy for treatment of uterine fibroids: a meta-analysis. Minimally Invasive Therapy & Allied Technologies, 27(5), 249–264. https://doi.org/10.1080/13645706.2018.1442349
Yamasato, K., Casey, D., Kaneshiro, B., & Hiraoka, M. (2014). Effect of Robotic Surgery on Hysterectomy Trends: Implications for Resident Education. Journal of Minimally Invasive Gynecology, 21(3), 399–405. https://doi.org/10.1016/J.JMIG.2013.10.009
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Copyright (c) 2024 Vásconez Rivadeneira Augusto Rodrigo, Nicolas Xavier Palacios Gonzalez, María Alejandra Zarabanda Gómez
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