{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:36:41Z","timestamp":1792197401583,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,2,16]],"date-time":"2016-02-16T00:00:00Z","timestamp":1455580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2016,2,16]],"date-time":"2016-02-16T00:00:00Z","timestamp":1455580800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,2,22]],"date-time":"2016-02-22T00:00:00Z","timestamp":1456099200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010477","name":"Intuitive Surgical Inc.","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100010477","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100010477","name":"Intuitive Surgical Inc.","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100010477","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["ijgo.org","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare perioperative outcomes between robotic\u2010assisted benign hysterectomies and abdominal, vaginal, and laparoscopic hysterectomies when performed by high\u2010volume surgeons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multicenter data analysis compared 30\u2010day outcomes from consecutive robotic\u2010assisted hysterectomies performed by high\u2010volume surgeons (\u2265 60 prior procedures) at nine centers with records retrieved from the Premier Perspective database for abdominal, vaginal, and laparoscopic hysterectomies performed by high\u2010volume gynecologic surgeons. Data on benign hysterectomy disorders from January 1, 2012 to September 30, 2013 were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 2300 robotic\u2010assisted, 9745 abdominal, 8121 vaginal, and 11 952 laparoscopic hysterectomies were included. The robotic\u2010assisted patient cohort had a significantly higher rate of adhesive disease compared with the vaginal (<jats:italic>P<\/jats:italic> &lt; 0.001) and laparoscopic cohorts (<jats:italic>P<\/jats:italic> &lt; 0.001), a significantly higher rate of morbid obesity than the vaginal (<jats:italic>P<\/jats:italic> &lt; 0.001) or laparoscopic cohorts (<jats:italic>P<\/jats:italic> &lt; 0.001), and a significantly higher rate of large uteri (&gt; 250 g) than the abdominal (<jats:italic>P<\/jats:italic> &lt; 0.001), vaginal (<jats:italic>P<\/jats:italic> &lt; 0.001), or laparoscopic cohorts (<jats:italic>P<\/jats:italic> = 0.017). The robotic\u2010assisted cohort experienced significantly fewer intraoperative complications than the abdominal (<jats:italic>P<\/jats:italic> &lt; 0.001) and vaginal cohorts (<jats:italic>P<\/jats:italic> &lt; 0.001), and experienced significantly fewer postoperative complications compared with all the comparator cohorts (<jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>When performed by gynecologic surgeons with relevant high\u2010volume experience, robotic\u2010assisted benign hysterectomy provided improved outcomes compared with abdominal, vaginal, and laparoscopic hysterectomy.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2015.11.010","type":"journal-article","created":{"date-parts":[[2016,2,17]],"date-time":"2016-02-17T00:32:17Z","timestamp":1455669137000},"page":"359-364","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":102,"title":["Multicenter analysis comparing robotic, open, laparoscopic, and vaginal hysterectomies performed by high\u2010volume surgeons for benign indications"],"prefix":"10.1002","volume":"133","author":[{"given":"Peter C.","family":"Lim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John T.","family":"Crane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric J.","family":"English","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard W.","family":"Farnam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin M.","family":"Garza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc L.","family":"Winter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry L.","family":"Rozeboom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,2,16]]},"reference":[{"issue":"6","key":"e_1_2_6_3_2_2","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/j.jmig.2010.06.009","article-title":"Comparing robot\u2010assisted with conventional laparoscopic hysterectomy: impact on cost and clinical outcomes","volume":"17","author":"Pasic R.P.","year":"2010","journal-title":"J Minim Invasive Gynecol"},{"key":"e_1_2_6_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318265b61a"},{"issue":"6","key":"e_1_2_6_3_4_2","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.jmig.2011.08.008","article-title":"Robot\u2010assisted laparoscopic hysterectomy vs traditional laparoscopic hysterectomy: five metaanalyses","volume":"18","author":"Scandola M.","year":"2011","journal-title":"J Minim Invasive Gynecol"},{"key":"e_1_2_6_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181b9d222"},{"issue":"5","key":"e_1_2_6_3_6_2","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1097\/01.AOG.0000285997.38553.4b","article-title":"Hysterectomy rates in the United States, 2003","volume":"110","author":"Wu J.M.","year":"2007","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.186"},{"issue":"4","key":"e_1_2_6_3_8_2","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/GCO.0b013e328216f90b","article-title":"The role of robotic surgery in gynecology","volume":"19","author":"Advincula A.P.","year":"2007","journal-title":"Curr Opin Obstet Gynecol"},{"key":"e_1_2_6_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.02.008"},{"key":"e_1_2_6_3_10_2","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/683703"},{"issue":"4","key":"e_1_2_6_3_11_2","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1097\/AOG.0b013e3182a4ee4d","article-title":"Comparison of robotic and laparoscopic hysterectomy for benign gynecologic disease","volume":"122","author":"Rosero E.B.","year":"2013","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_3_12_2","article-title":"The impact of robotics on the mode of benign hysterectomy and clinical outcomes","author":"Luciano A.A.","year":"2015","journal-title":"Int J Med Robot"},{"issue":"3","key":"e_1_2_6_3_13_2","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.ygyno.2010.11.034","article-title":"Park do H. 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