L. Rosen

Evaluation of Symptom Resolution in Patients With a Small Number of Myomas Following Robotic-Assisted Laparoscopic Myomectomy

Study Objective: The purpose of this study is to compare the differences between robotic pelvic lymph node dissection (PLND) using the singleport approach to the multi-port approach, with respect to patient and tumor characteristics. Design: Retrospective chart review. Setting: Tertiary health care center. Patients: The charts of patients with endometrial pathology who underwent robotic pelvic lymph node dissection in the period from February 2014 to February 2015 were reviewed. Other gynecologic malignancies were excluded from the analysis because the single-port approach for pelvic lymph node dissection was not used in the event that cervical or ovarian cancer were suspected. Intervention: All cases of pelvic lymph node dissection were done at the same time as the total laparoscopic hysterectomy (TLH) and/or bilateral salpingo-oophrectomy (BSO) together with other procedures deemed necessary by the surgeon for staging purposes. All surgeries were performed by one highly trained gynecologic oncologist at a single institution. Measurements and Main Results: Variables of interest were the age of the patient, body mass index (BMI), operative time (defined as the time noted in anesthesia records between procedure start and finish, and the number of lymph nodes removed on the right pelvic side and the left pelvic side as described in the pathology report. During the study period, 41 patients underwent PLND via the multi-port approach and 10 patients via the