ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025
Robotic versus open hysterectomy for very large uterus (more than 1000 g): A bicentric retrospective study of 150 patients.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Learning curve and perioperative outcomes of four-port assistant-independent robot-assisted total laparoscopic hysterectomy according to uterine size.Journal of robotic surgery · 2026Article
- Robotic versus open hysterectomy for very large uterus (more than 1000 g): A bicentric retrospective study of 150 patients.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare robotic (RAL) and open abdominal (OA) hysterectomy for very large uteri in terms of perioperative outcomes, complications, and costs.
methodsData from patients undergoing total hysterectomy between 2015 and 2021 for benign indications with a uterus weighing 1000 g or more according to the pathology report in two French Academic hospitals were retrospectively collected. All patients with a malignant pathology were excluded.
resultsAmong 150 patients included, 44 (30%) patients underwent RAL and 106 (70%) underwent OA hysterectomies. Mean uterus weights were 1844 g in the OA group and 1710 g in the RAL group. Mean operative time was longer in the RAL group (217 vs. 124 min; P < 0.001). No difference was found in terms of intraoperative (P = 0.951) and postoperative complications (P = 0.680). Hospital stay was shorter in the RAL group (1.6 vs. 3.8 days; P < 0.001). The RAL route was more expensive than the OA route regarding operating room occupancy (€1339 vs. €2370; P < 0.001) and disposable instruments (€390 vs. €654; P < 0.001); but cheaper, regarding the cost of hospital stay (€5042 vs. €9119; P < 0.001), which led to a lower global cost with the RAL route (€8211 vs. €10 901; P < 0.001).
conclusionRobotic hysterectomy for uteri weighing more than 1000 g is comparable with open hysterectomy in terms of complications. The robotic approach allows for a shorter hospital stay, which leads to a lower overall cost.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.