Comparison of operative time between robotic and laparoscopic myomectomy for removal of numerous myomas

BACKGROUND: We hypothesized that the total operative time of robot myomectomy (RM) is shorter than that of laparoscopic myomectomy (LM) in cases where numerous myomas are removed, due to the faster suturing time of the robotic system. To verify this, we compared the surgical outcomes of RM vs LM for the number of myomas removed. METHODS: The medical records of 144 women underwent LM and 121 women underwent RM by a single surgeon were reviewed. RESULTS: The operative time did not statistically differ between the groups, even when the number of removed myomas was more than 12 (200.6 ± 48.2 vs 196.0 ± 48.4 minutes, P = .791). Note that in our logistic regression analysis, the operation type was excluded from the independent risk factors prolonging operative time. CONCLUSION: RM showed a similar operative time relative to LM regardless of the number of myomas removed (numerous or not).