Changes in anti-Müllerian hormone values for ovarian reserve after minimally invasive benign ovarian cystectomy: comparison of the Da Vinci robotic systems (Xi and SP) and the laparoscopic system
Abstract To investigate the impact on the ovarian reserve after minimally invasive ovarian cystectomy using two platforms, the Da Vinci robotic system (Xi and SP) and the laparoscopic system. Patients underwent laparoscopic or Da Vinci robotic (Xi or SP) ovarian cystectomy for benign ovarian cysts b...
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Nature Portfolio
2024-04-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-59935-2 |
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| author | Yunjeong Park Ayoung Song Junghyun Jee Nayoung Bae Sumin Oh Jung-Ho Shin Yong Jin Kim |
| author_facet | Yunjeong Park Ayoung Song Junghyun Jee Nayoung Bae Sumin Oh Jung-Ho Shin Yong Jin Kim |
| author_sort | Yunjeong Park |
| collection | DOAJ |
| description | Abstract To investigate the impact on the ovarian reserve after minimally invasive ovarian cystectomy using two platforms, the Da Vinci robotic system (Xi and SP) and the laparoscopic system. Patients underwent laparoscopic or Da Vinci robotic (Xi or SP) ovarian cystectomy for benign ovarian cysts between January 1, 2018, and December 31, 2022 at Guro Hospital, Korea University Medical center. We measured the change of AMH values (%) = [(postAMH − preAMH)] × 100/preAMH. No significant differences in preoperative age, cyst size, estimated blood loss during surgery, hemoglobin drop, length of hospital stay, adhesion detachment rate and cyst rupture rate were observed. However, the operative time was significantly shorter in the laparoscopic group than that in the robotic group (67.78 ± 30.58 min vs. 105.17 ± 38.87 min, p < 0.001) The mean preAMH and postAMH were significantly higher with the Da Vinci robotic group than with the laparoscopic group (preAMH: 5.89 ± 4.81 ng/mL vs. 4.01 ± 3.59 ng/mL, p = 0.02, postAMH: 4.36 ± 3.31 ng/mL vs. 3.08 ± 2.60 ng/mL, p = 0.02). However, the mean ΔAMH was not significantly different between two groups. ΔAMH also did not demonstrate significant differences among the three groups; laparoscopic, Xi and SP robotic. Even in the patient groups with preAMH < 2 and diagnosed with endometriosis, the ΔAMH did not show significant differences between the laparoscopic and robotic groups. The Da Vinci robotic system is no inferior to conventional laparoscopic systems in preserving ovarian function. |
| first_indexed | 2024-04-24T07:16:31Z |
| format | Article |
| id | doaj.art-9ec60e3e6a01401cb1133576a1e34dd2 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-24T07:16:31Z |
| publishDate | 2024-04-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-9ec60e3e6a01401cb1133576a1e34dd22024-04-21T11:18:25ZengNature PortfolioScientific Reports2045-23222024-04-011411810.1038/s41598-024-59935-2Changes in anti-Müllerian hormone values for ovarian reserve after minimally invasive benign ovarian cystectomy: comparison of the Da Vinci robotic systems (Xi and SP) and the laparoscopic systemYunjeong Park0Ayoung Song1Junghyun Jee2Nayoung Bae3Sumin Oh4Jung-Ho Shin5Yong Jin Kim6Department of Obstetrics and Gynecology, Korea University College of MedicineDepartment of Obstetrics and Gynecology, Korea University College of MedicineDepartment of Obstetrics and Gynecology, Korea University College of MedicineDepartment of Obstetrics and Gynecology, Korea University College of MedicineDepartment of Obstetrics and Gynecology, Korea University College of MedicineDepartment of Obstetrics and Gynecology, Korea University College of MedicineDepartment of Obstetrics and Gynecology, Korea University College of MedicineAbstract To investigate the impact on the ovarian reserve after minimally invasive ovarian cystectomy using two platforms, the Da Vinci robotic system (Xi and SP) and the laparoscopic system. Patients underwent laparoscopic or Da Vinci robotic (Xi or SP) ovarian cystectomy for benign ovarian cysts between January 1, 2018, and December 31, 2022 at Guro Hospital, Korea University Medical center. We measured the change of AMH values (%) = [(postAMH − preAMH)] × 100/preAMH. No significant differences in preoperative age, cyst size, estimated blood loss during surgery, hemoglobin drop, length of hospital stay, adhesion detachment rate and cyst rupture rate were observed. However, the operative time was significantly shorter in the laparoscopic group than that in the robotic group (67.78 ± 30.58 min vs. 105.17 ± 38.87 min, p < 0.001) The mean preAMH and postAMH were significantly higher with the Da Vinci robotic group than with the laparoscopic group (preAMH: 5.89 ± 4.81 ng/mL vs. 4.01 ± 3.59 ng/mL, p = 0.02, postAMH: 4.36 ± 3.31 ng/mL vs. 3.08 ± 2.60 ng/mL, p = 0.02). However, the mean ΔAMH was not significantly different between two groups. ΔAMH also did not demonstrate significant differences among the three groups; laparoscopic, Xi and SP robotic. Even in the patient groups with preAMH < 2 and diagnosed with endometriosis, the ΔAMH did not show significant differences between the laparoscopic and robotic groups. The Da Vinci robotic system is no inferior to conventional laparoscopic systems in preserving ovarian function.https://doi.org/10.1038/s41598-024-59935-2Anti-Müllerian hormoneOvarian reserveRobotic surgical proceduresLaparoscopyBenign ovarian cyst |
| spellingShingle | Yunjeong Park Ayoung Song Junghyun Jee Nayoung Bae Sumin Oh Jung-Ho Shin Yong Jin Kim Changes in anti-Müllerian hormone values for ovarian reserve after minimally invasive benign ovarian cystectomy: comparison of the Da Vinci robotic systems (Xi and SP) and the laparoscopic system Scientific Reports Anti-Müllerian hormone Ovarian reserve Robotic surgical procedures Laparoscopy Benign ovarian cyst |
| title | Changes in anti-Müllerian hormone values for ovarian reserve after minimally invasive benign ovarian cystectomy: comparison of the Da Vinci robotic systems (Xi and SP) and the laparoscopic system |
| title_full | Changes in anti-Müllerian hormone values for ovarian reserve after minimally invasive benign ovarian cystectomy: comparison of the Da Vinci robotic systems (Xi and SP) and the laparoscopic system |
| title_fullStr | Changes in anti-Müllerian hormone values for ovarian reserve after minimally invasive benign ovarian cystectomy: comparison of the Da Vinci robotic systems (Xi and SP) and the laparoscopic system |
| title_full_unstemmed | Changes in anti-Müllerian hormone values for ovarian reserve after minimally invasive benign ovarian cystectomy: comparison of the Da Vinci robotic systems (Xi and SP) and the laparoscopic system |
| title_short | Changes in anti-Müllerian hormone values for ovarian reserve after minimally invasive benign ovarian cystectomy: comparison of the Da Vinci robotic systems (Xi and SP) and the laparoscopic system |
| title_sort | changes in anti mullerian hormone values for ovarian reserve after minimally invasive benign ovarian cystectomy comparison of the da vinci robotic systems xi and sp and the laparoscopic system |
| topic | Anti-Müllerian hormone Ovarian reserve Robotic surgical procedures Laparoscopy Benign ovarian cyst |
| url | https://doi.org/10.1038/s41598-024-59935-2 |
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