Robotic hysterectomy, bilaterla salpingo-oophorectomy and lymph nodes dissection is a new procedure but the preliminary evidence and reports suggest that it does not produce more compication or a longer hospital stay than the open procedure. In a 2009 report, it reduced blood loss and improved lymph node retrieval with no cost to survival compared with conventional hysterectomy.
In one study, LOS was 1.0 ± 0.5 for the robotic procedure vs. 3.2 ± 1.0 days (p < 0.0001). 0001) for the open procedure. This is also a preliminary observation and more information must be awaited before a recommendation about the reasonable length of stay can be made but at this time, a 23 hour observation does not appear to be sufficient. There are other advantages to robotic hysterectomy that continue to be reported:Reduced operative time, reduced blood loss, and shortened length of stay may be achieved in patients who are treated robotically versus a nonrobotic approach. Robotics may facilitate the minimally invasive treatment of patients while potentially reducing the rate of abdominal hysterectomies.
Sandra E. Brooks M.D.et al, Resource Utilization for Patients Undergoing Hysterectomy with or without Lymph Node Dissection for Endometrial Cancer Gynecologic Oncology Volume 85, Issue 2, May 2002, Pages 242-249
Eugenio Volpi et al Laparoscopic treatment of endometrial cancer: feasibility and results European Journal of Obstetrics & Gynecology and Reproductive Biology Volume 124, Issue 2, 1 February 2006, Pages 232-236
DeNardis SA, Holloway RW, Bigsby Iv GE, Pikaart DP, Ahmad S, Finkler NJ. Robotically assisted laparoscopic hysterectomy versus total abdominal hysterectomy and lymphadenectomy for endometrial cancer. Gynecologic Oncology 2008 Dec;111(3):412-7. Epub 2008 Oct 1.
Cantrell LA, et al "Survival outcomes for women undergoing type III robotic radical hysterectomy for cervical cancer: a three-year experience" SGO 2009; 112(Suppl 1): Abstract 10.