A prospective comparison of postoperative pain and quality of life in robotic assisted vs conventional laparoscopic gynecologic surgery
We sought to compare robotic vs laparoscopic surgery in regards to patient reported postoperative pain and quality of life. This was a prospective study of patients who presented for treatment of a new gynecologic disease requiring minimally invasive surgical intervention. All subjects were asked to...
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| Published in: | American journal of obstetrics and gynecology Vol. 212; no. 2; pp. 194.e1 - 194.e7 |
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| Main Authors: | , , , , , |
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| Language: | English |
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01.02.2015
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| ISSN: | 0002-9378, 1097-6868, 1097-6868 |
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| Abstract | We sought to compare robotic vs laparoscopic surgery in regards to patient reported postoperative pain and quality of life.
This was a prospective study of patients who presented for treatment of a new gynecologic disease requiring minimally invasive surgical intervention. All subjects were asked to take the validated Brief Pain Inventory-Short Form at 3 time points to assess pain and its effect on quality of life. Statistical analyses were performed using Pearson x2 and Student’s t test.
One hundred eleven were included in the analysis of which 56 patients underwent robotic assisted surgery and 55 patients underwent laparoscopic surgery. There was no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. There was a statistically significant difference found at the delayed postoperative period when evaluating interference of sleep, favoring laparoscopy (ROB 2.0 vs LSC 1.0; P = .03). There were no differences found between the robotic and laparoscopic groups of patients receiving narcotics (56 vs 53, P = .24, respectively), route of administration of narcotics (47 vs 45, P > .99, respectively), or administration of nonsteroidal antiinflammatory medications (27 vs 21, P = .33, respectively).
Our results demonstrate no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. Furthermore, pain did not appear to interfere consistently with any daily activity of living. Interference of sleep needs to be further evaluated after controlling for bilateral salpingo-oophorectomy. |
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| AbstractList | We sought to compare robotic vs laparoscopic surgery in regards to patient reported postoperative pain and quality of life.
This was a prospective study of patients who presented for treatment of a new gynecologic disease requiring minimally invasive surgical intervention. All subjects were asked to take the validated Brief Pain Inventory-Short Form at 3 time points to assess pain and its effect on quality of life. Statistical analyses were performed using Pearson x(2) and Student's t test.
One hundred eleven were included in the analysis of which 56 patients underwent robotic assisted surgery and 55 patients underwent laparoscopic surgery. There was no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. There was a statistically significant difference found at the delayed postoperative period when evaluating interference of sleep, favoring laparoscopy (ROB 2.0 vs LSC 1.0; P = .03). There were no differences found between the robotic and laparoscopic groups of patients receiving narcotics (56 vs 53, P = .24, respectively), route of administration of narcotics (47 vs 45, P > .99, respectively), or administration of nonsteroidal antiinflammatory medications (27 vs 21, P = .33, respectively).
Our results demonstrate no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. Furthermore, pain did not appear to interfere consistently with any daily activity of living. Interference of sleep needs to be further evaluated after controlling for bilateral salpingo-oophorectomy. We sought to compare robotic vs laparoscopic surgery in regards to patient reported postoperative pain and quality of life.OBJECTIVEWe sought to compare robotic vs laparoscopic surgery in regards to patient reported postoperative pain and quality of life.This was a prospective study of patients who presented for treatment of a new gynecologic disease requiring minimally invasive surgical intervention. All subjects were asked to take the validated Brief Pain Inventory-Short Form at 3 time points to assess pain and its effect on quality of life. Statistical analyses were performed using Pearson x(2) and Student's t test.STUDY DESIGNThis was a prospective study of patients who presented for treatment of a new gynecologic disease requiring minimally invasive surgical intervention. All subjects were asked to take the validated Brief Pain Inventory-Short Form at 3 time points to assess pain and its effect on quality of life. Statistical analyses were performed using Pearson x(2) and Student's t test.One hundred eleven were included in the analysis of which 56 patients underwent robotic assisted surgery and 55 patients underwent laparoscopic surgery. There was no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. There was a statistically significant difference found at the delayed postoperative period when evaluating interference of sleep, favoring laparoscopy (ROB 2.0 vs LSC 1.0; P = .03). There were no differences found between the robotic and laparoscopic groups of patients receiving narcotics (56 vs 53, P = .24, respectively), route of administration of narcotics (47 vs 45, P > .99, respectively), or administration of nonsteroidal antiinflammatory medications (27 vs 21, P = .33, respectively).RESULTSOne hundred eleven were included in the analysis of which 56 patients underwent robotic assisted surgery and 55 patients underwent laparoscopic surgery. There was no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. There was a statistically significant difference found at the delayed postoperative period when evaluating interference of sleep, favoring laparoscopy (ROB 2.0 vs LSC 1.0; P = .03). There were no differences found between the robotic and laparoscopic groups of patients receiving narcotics (56 vs 53, P = .24, respectively), route of administration of narcotics (47 vs 45, P > .99, respectively), or administration of nonsteroidal antiinflammatory medications (27 vs 21, P = .33, respectively).Our results demonstrate no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. Furthermore, pain did not appear to interfere consistently with any daily activity of living. Interference of sleep needs to be further evaluated after controlling for bilateral salpingo-oophorectomy.CONCLUSIONOur results demonstrate no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. Furthermore, pain did not appear to interfere consistently with any daily activity of living. Interference of sleep needs to be further evaluated after controlling for bilateral salpingo-oophorectomy. We sought to compare robotic vs laparoscopic surgery in regards to patient reported postoperative pain and quality of life. This was a prospective study of patients who presented for treatment of a new gynecologic disease requiring minimally invasive surgical intervention. All subjects were asked to take the validated Brief Pain Inventory-Short Form at 3 time points to assess pain and its effect on quality of life. Statistical analyses were performed using Pearson x2 and Student’s t test. One hundred eleven were included in the analysis of which 56 patients underwent robotic assisted surgery and 55 patients underwent laparoscopic surgery. There was no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. There was a statistically significant difference found at the delayed postoperative period when evaluating interference of sleep, favoring laparoscopy (ROB 2.0 vs LSC 1.0; P = .03). There were no differences found between the robotic and laparoscopic groups of patients receiving narcotics (56 vs 53, P = .24, respectively), route of administration of narcotics (47 vs 45, P > .99, respectively), or administration of nonsteroidal antiinflammatory medications (27 vs 21, P = .33, respectively). Our results demonstrate no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. Furthermore, pain did not appear to interfere consistently with any daily activity of living. Interference of sleep needs to be further evaluated after controlling for bilateral salpingo-oophorectomy. Objective We sought to compare robotic vs laparoscopic surgery in regards to patient reported postoperative pain and quality of life. Study Design This was a prospective study of patients who presented for treatment of a new gynecologic disease requiring minimally invasive surgical intervention. All subjects were asked to take the validated Brief Pain Inventory-Short Form at 3 time points to assess pain and its effect on quality of life. Statistical analyses were performed using Pearson x 2 and Student’s t test. Results One hundred eleven were included in the analysis of which 56 patients underwent robotic assisted surgery and 55 patients underwent laparoscopic surgery. There was no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. There was a statistically significant difference found at the delayed postoperative period when evaluating interference of sleep, favoring laparoscopy (ROB 2.0 vs LSC 1.0; P = .03). There were no differences found between the robotic and laparoscopic groups of patients receiving narcotics (56 vs 53, P = .24, respectively), route of administration of narcotics (47 vs 45, P > .99, respectively), or administration of nonsteroidal antiinflammatory medications (27 vs 21, P = .33, respectively). Conclusion Our results demonstrate no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. Furthermore, pain did not appear to interfere consistently with any daily activity of living. Interference of sleep needs to be further evaluated after controlling for bilateral salpingo-oophorectomy. |
| Author | Pua, Tarah L. Boyd, Leslie R. Blank, Stephanie V. Zechmeister, Jenna R. Curtin, John P. Pothuri, Bhavana |
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| Cites_doi | 10.1097/00002508-200409000-00011 10.1245/s10434-012-2681-z 10.3802/jgo.2011.22.4.253 10.1016/j.jmig.2011.08.008 10.1097/AOG.0b013e318265b61a 10.1001/jama.2013.186 10.1097/AOG.0b013e31818f3c17 |
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| References | Soto, Lo, Friedman (bib2) 2011; 4 Wright, Ananth, Lewin (bib5) 2013; 309 Liu, Lu, Wang, Shi, Song, Clarke (bib3) 2012; 2 Sarlos, Kots, Stevanovic, von Felten, Schär (bib4) 2012; 120 Scandola, Grespan, Vicentini, Fiorini (bib1) 2011; 18 Visco, Advincula (bib6) 2008; 112 Soliman, Langley, Munsell, Vaniya, Frumovitz, Ramirez (bib8) 2013; 20 Mendoza, Chen, Brugger (bib7) 2004; 20 Soto (10.1016/j.ajog.2014.08.003_bib2) 2011; 4 Wright (10.1016/j.ajog.2014.08.003_bib5) 2013; 309 Mendoza (10.1016/j.ajog.2014.08.003_bib7) 2004; 20 Liu (10.1016/j.ajog.2014.08.003_bib3) 2012; 2 Scandola (10.1016/j.ajog.2014.08.003_bib1) 2011; 18 Visco (10.1016/j.ajog.2014.08.003_bib6) 2008; 112 Sarlos (10.1016/j.ajog.2014.08.003_bib4) 2012; 120 Soliman (10.1016/j.ajog.2014.08.003_bib8) 2013; 20 |
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This was a prospective study of... Objective We sought to compare robotic vs laparoscopic surgery in regards to patient reported postoperative pain and quality of life. Study Design This was a... We sought to compare robotic vs laparoscopic surgery in regards to patient reported postoperative pain and quality of life.OBJECTIVEWe sought to compare... |
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| SubjectTerms | Adult Aged Female Genital Diseases, Female - surgery Gynecologic Surgical Procedures - methods Humans laparoscopic surgery Laparoscopy - methods Length of Stay - statistics & numerical data Middle Aged Obstetrics and Gynecology Operative Time Pain Measurement Pain, Postoperative - drug therapy Pain, Postoperative - prevention & control postoperative pain Prospective Studies Quality of Life robotic surgery Robotic Surgical Procedures - methods |
| Title | A prospective comparison of postoperative pain and quality of life in robotic assisted vs conventional laparoscopic gynecologic surgery |
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