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Robotic-assisted laparoscopic vs abdominal and laparoscopic myomectomy: systematic review and meta-analysis

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Robotic-assisted laparoscopic vs abdominal and laparoscopic myomectomy : systematic review and meta-analysis. / Pundir, Jyotsna; Pundir, Vishal; Walavalkar, Rajalaxmi; Omanwa, Kireki; Lancaster, Gillian; Kayani, Salma.

In: Journal of Minimally Invasive Gynecology, Vol. 20, No. 3, 05.2013, p. 335-345.

Research output: Contribution to journalJournal article

Harvard

Pundir, J, Pundir, V, Walavalkar, R, Omanwa, K, Lancaster, G & Kayani, S 2013, 'Robotic-assisted laparoscopic vs abdominal and laparoscopic myomectomy: systematic review and meta-analysis', Journal of Minimally Invasive Gynecology, vol. 20, no. 3, pp. 335-345. https://doi.org/10.1016/j.jmig.2012.12.010

APA

Pundir, J., Pundir, V., Walavalkar, R., Omanwa, K., Lancaster, G., & Kayani, S. (2013). Robotic-assisted laparoscopic vs abdominal and laparoscopic myomectomy: systematic review and meta-analysis. Journal of Minimally Invasive Gynecology, 20(3), 335-345. https://doi.org/10.1016/j.jmig.2012.12.010

Vancouver

Pundir J, Pundir V, Walavalkar R, Omanwa K, Lancaster G, Kayani S. Robotic-assisted laparoscopic vs abdominal and laparoscopic myomectomy: systematic review and meta-analysis. Journal of Minimally Invasive Gynecology. 2013 May;20(3):335-345. https://doi.org/10.1016/j.jmig.2012.12.010

Author

Pundir, Jyotsna ; Pundir, Vishal ; Walavalkar, Rajalaxmi ; Omanwa, Kireki ; Lancaster, Gillian ; Kayani, Salma. / Robotic-assisted laparoscopic vs abdominal and laparoscopic myomectomy : systematic review and meta-analysis. In: Journal of Minimally Invasive Gynecology. 2013 ; Vol. 20, No. 3. pp. 335-345.

Bibtex

@article{8aaad984c341431886f03634b9f23511,
title = "Robotic-assisted laparoscopic vs abdominal and laparoscopic myomectomy: systematic review and meta-analysis",
abstract = "Herein is presented a systematic review and meta-analysis of evidence related to operative outcomes associated with robotic-assisted laparoscopic myomectomy (RLM) compared with abdominal myomectomy (AM) and laparoscopic myomectomy (LM). Outcome measures included estimated blood loss (EBL), blood transfusion, operating time, complications, length of hospital stay (LOHS), and costs. Meta-analysis 1 compared RLM vs AM, and meta-analysis 2 compared RLM vs LM. Studies scored moderately well on the Newcastle-Ottawa Quality Assessment Scale. No significant differences were found in age, body mass index, or number, diameter, and weight of myomas. In meta-analysis 1, EBL, blood transfusion, and LOHS were significantly lower; risk of complications was similar; and operating time and costs were significantly higher with RLM. In meta-analysis 2, no significant differences were noted in EBL, operating time, complications, and LOHS with RLM; however, blood transfusion risk and costs were higher. It was concluded that insofar as operative outcomes, RLM has significant short-term benefits compared with AM and no benefits compared with LM. Long-term benefits such as recurrence, fertility, and obstetric outcomes remain uncertain.",
keywords = "Abdomen, Humans, Laparoscopy, Robotics, Uterine Myomectomy",
author = "Jyotsna Pundir and Vishal Pundir and Rajalaxmi Walavalkar and Kireki Omanwa and Gillian Lancaster and Salma Kayani",
year = "2013",
month = "5",
doi = "10.1016/j.jmig.2012.12.010",
language = "English",
volume = "20",
pages = "335--345",
journal = "Journal of Minimally Invasive Gynecology",
issn = "1553-4669",
publisher = "Elsevier",
number = "3",

}

RIS

TY - JOUR

T1 - Robotic-assisted laparoscopic vs abdominal and laparoscopic myomectomy

T2 - systematic review and meta-analysis

AU - Pundir, Jyotsna

AU - Pundir, Vishal

AU - Walavalkar, Rajalaxmi

AU - Omanwa, Kireki

AU - Lancaster, Gillian

AU - Kayani, Salma

PY - 2013/5

Y1 - 2013/5

N2 - Herein is presented a systematic review and meta-analysis of evidence related to operative outcomes associated with robotic-assisted laparoscopic myomectomy (RLM) compared with abdominal myomectomy (AM) and laparoscopic myomectomy (LM). Outcome measures included estimated blood loss (EBL), blood transfusion, operating time, complications, length of hospital stay (LOHS), and costs. Meta-analysis 1 compared RLM vs AM, and meta-analysis 2 compared RLM vs LM. Studies scored moderately well on the Newcastle-Ottawa Quality Assessment Scale. No significant differences were found in age, body mass index, or number, diameter, and weight of myomas. In meta-analysis 1, EBL, blood transfusion, and LOHS were significantly lower; risk of complications was similar; and operating time and costs were significantly higher with RLM. In meta-analysis 2, no significant differences were noted in EBL, operating time, complications, and LOHS with RLM; however, blood transfusion risk and costs were higher. It was concluded that insofar as operative outcomes, RLM has significant short-term benefits compared with AM and no benefits compared with LM. Long-term benefits such as recurrence, fertility, and obstetric outcomes remain uncertain.

AB - Herein is presented a systematic review and meta-analysis of evidence related to operative outcomes associated with robotic-assisted laparoscopic myomectomy (RLM) compared with abdominal myomectomy (AM) and laparoscopic myomectomy (LM). Outcome measures included estimated blood loss (EBL), blood transfusion, operating time, complications, length of hospital stay (LOHS), and costs. Meta-analysis 1 compared RLM vs AM, and meta-analysis 2 compared RLM vs LM. Studies scored moderately well on the Newcastle-Ottawa Quality Assessment Scale. No significant differences were found in age, body mass index, or number, diameter, and weight of myomas. In meta-analysis 1, EBL, blood transfusion, and LOHS were significantly lower; risk of complications was similar; and operating time and costs were significantly higher with RLM. In meta-analysis 2, no significant differences were noted in EBL, operating time, complications, and LOHS with RLM; however, blood transfusion risk and costs were higher. It was concluded that insofar as operative outcomes, RLM has significant short-term benefits compared with AM and no benefits compared with LM. Long-term benefits such as recurrence, fertility, and obstetric outcomes remain uncertain.

KW - Abdomen

KW - Humans

KW - Laparoscopy

KW - Robotics

KW - Uterine Myomectomy

U2 - 10.1016/j.jmig.2012.12.010

DO - 10.1016/j.jmig.2012.12.010

M3 - Journal article

C2 - 23453764

VL - 20

SP - 335

EP - 345

JO - Journal of Minimally Invasive Gynecology

JF - Journal of Minimally Invasive Gynecology

SN - 1553-4669

IS - 3

ER -