Hugo? robotically assisted surgery versus laparoscopic hysterectomy for benign
gynecological diseases: a secondary data analysis of clinical records in Panama
#MMPMID41382295
Vargas Castillo CE
; Cáceres Yap MÁ
; Doubova SV
; Pérez Cuevas R
; Bonilla Cruz A
BMC Surg
2025[Dec]; 25
(1
): 588
PMID41382295
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BACKGROUND: The study compared the characteristics of women undergoing Medtronic
Hugo? robotically assisted surgery (RAS) versus laparoscopic surgery (LS) for
benign hysterectomy at two hospitals in Panama. It also analyzed the types of
surgery associated with shorter operating times. METHODS: We performed a
retrospective secondary data analysis of clinical records, from 63 women who
underwent RAS and 59 who had LS, between July 1, 2022, and June 29, 2023. We
analyzed age, body mass index (BMI), indications for hysterectomy, surgical type,
time, complications, and hospital stays using Chi-square tests, Wilcoxon rank sum
tests, and multivariable linear regression. RESULTS: Compared to women who
underwent LS, those in the RAS group were older and had lower BMI (p?=?0.018).
Surgical time and blood loss were lower in the RAS group (76 min vs. 117 min and
30 ml vs. 200 ml, p?0.001). No complications occurred in either group. RAS was
associated with a 22% reduction in surgical time after controlling for patients?
age, BMI, preoperative diagnoses, uterine weight, and blood loss during surgery
(p 0.005). CONCLUSION: Hugo? RAS showed a good safety profile and shorter
operating time compared to laparoscopic hysterectomy, in contrast to previous
research that indicated longer RAS durations. CLINICAL TRIAL NUMBER: Not
applicable.