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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Vydáno v:American journal of obstetrics and gynecology Ročník 212; číslo 2; s. 194.e1 - 194.e7
Hlavní autoři: Zechmeister, Jenna R., Pua, Tarah L., Boyd, Leslie R., Blank, Stephanie V., Curtin, John P., Pothuri, Bhavana
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.02.2015
Témata:
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
quality of life
laparoscopic surgery
postoperative pain
robotic surgery
ISSN:0002-9378, 1097-6868, 1097-6868
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Shrnutí: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.
Bibliografie:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 23
ISSN:0002-9378
1097-6868
1097-6868
DOI:10.1016/j.ajog.2014.08.003