ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Opioid Use After Robotic Assisted versus Laparoscopic Endometriosis Surgery.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- The Benign COMPARE Study: Comparing Perioperative Outcomes of Benign Minimally Invasive Laparoscopic, da Vinci Robotic, and Open Procedures: A Systematic Review and Meta-Analysis of Evidence.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
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Authors and funding
6 authors.
Funding
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Abstract
Background and Objective: Minimally invasive endometriosis surgery can be done laparoscopically or with robotic assistance. The choice of modality of this procedure could impact postprocedure pain levels and the need for opioids to manage pain. The objective of this study is to evaluate differences in opioid prescription fill rates following endometriosis surgery between robotic-assisted and laparoscopic approaches. Methods: A retrospective cohort study using the Merative MarketScan (United States employer-based claims database) from 2016 to 2021. Opioid prescription fills were examined in three time periods: preoperative (12 months to 30 days before surgery), perioperative (29 days before to 14 days after), and postoperative (15 days to 24 months after). Logistic regression models estimated average marginal effects (AME) for perioperative and postoperative opioid use, adjusting for demographics, health conditions, concomitant procedures, and prior opioid use. Results: Of the 28,088 individuals who underwent endometriosis surgery, 6.24% (1,752 patients) had robotic-assisted procedures. In the postoperative period, laparoscopic surgery was associated with a higher probability of postoperative opioid prescription fills compared to robotic-assisted surgery (adjusted AME = 3.2; 95% CI: 0.7, 5.7; Conclusions: Robotic-assisted procedures were associated with a reduced likelihood of opioid prescription fills in the postoperative period following surgery compared to laparoscopic procedures, including for patients with baseline pain disorders.
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