{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:21:50Z","timestamp":1792513310004,"version":"4.5.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007195","name":"Universit\u00e0 degli Studi di Napoli Federico II","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007195","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Uterine myomas are the most common gynecological disease in reproductive-aged women, present several symptoms, and require effective medical and\/or surgical strategies. This study aimed to compare robotic-assisted laparoscopic myomectomy (RALM) with laparoscopic myomectomy (LM) in terms of operative times, intraoperative estimated blood loss, pre- and post-hemoglobin levels drop, and length of hospital stay. Data from 50 clinical records (25 RALM in Group A and 25 LM in Group B) of patients with uterine fibroids were collected from December 2022 to December 2023 at Gynecological Unit of DAI Materno-Infantile Federico II in Naples, Italy. Patients aged 30\u201349\u00a0years with symptomatic fibroids were included. Data on peri-operative outcomes, including operative time for myomectomy (OTM), overall operative time (OOT), intraoperative estimated blood loss (EBL), pre- and post-operative hemoglobin levels, and length of hospital stay were analyzed. The OTM in the presence of\u2009&gt;\u20095 myomas was 59 [52\u201365] vs 69\u00a0min [61\u201396] (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) for RALM and LM groups, respectively. Moreover, also in presence of\u2009\u2264\u20095 myomas, a difference was observed in the RALM group 48[43\u201355] compared to the LM group 53[50\u201361] min (<jats:italic>p<\/jats:italic>\u2009=\u20090.07). The OOT was also statistically significant for Group A compared to Group B (83[65\u201393] vs 72[56\u2013110] min, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). There were no significant differences between the two groups in terms of pre- and post-operative hemoglobin levels and EBL (<jats:italic>p<\/jats:italic>\u2009=\u20090.178). Group A demonstrated a notably shorter hospital stay 1.2 [1\u20132] days compared to Group B 2.9[3\u20133.75] days (<jats:italic>p<\/jats:italic>\u2009=\u20090.007). Our study suggests potential advantages of RALM over LM in terms of reduced operative times and shorter hospital stays. The standardized approach and extensive surgical experience likely contributed to the favorable outcomes of RALM.<\/jats:p>","DOI":"10.1007\/s13304-024-01863-x","type":"journal-article","created":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:02:54Z","timestamp":1714521774000},"page":"2371-2378","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A comparative retrospective analysis on robot-assisted laparoscopic surgery compared to conventional laparoscopy in case of myomectomy: experience in a third-level hospital of Southern Italy"],"prefix":"10.1007","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0584-2181","authenticated-orcid":false,"given":"Luigi","family":"Della Corte","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2962-6565","authenticated-orcid":false,"given":"Giuseppe","family":"D\u2019Angelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7845-1149","authenticated-orcid":false,"given":"Mario","family":"Ascione","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Granata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"Giampaolino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6485-5735","authenticated-orcid":false,"given":"Attilio","family":"Di Spiezio Sardo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7772-8591","authenticated-orcid":false,"given":"Giuseppe","family":"Bifulco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"issue":"3","key":"1863_CR1","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1038\/modpathol.3880055","volume":"13","author":"RL Kempson","year":"2000","unstructured":"Kempson RL, Hendrickson MR (2000) Smooth muscle, endometrial stromal, and mixed M\u00fcllerian tumors of the uterus. 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We only analyzed medical clinical records of the patients underwent surgery in our institute.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval, research involving human participants and informed consent"}}]}}