ArticleFrontiers in medicine2026
Perioperative outcomes and learning curves of minimally invasive hysterectomy: a comparative analysis of MPLH, RASPH, and SPLH.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Objective: To compare perioperative safety, efficiency and learning curves of MPLH, RASPH and SPLH, and analyze surgical disparities stratified by uterine volume. We adopted multivariable regression (primary adjusted analysis) and multinomial IPTW weighting (sensitivity analysis) to correct indication confounding; though IPTW failed to balance baseline covariates and could not achieve adequate covariate balance, both adjusted methods yielded consistent outcomes. Methods: This single-center retrospective cohort enrolled 280 patients (118 MPLH, 35 RASPH, 127 SPLH). We compared intraoperative metrics, early recovery indicators, 30-days complications and CUSUM learning curves, stratifying patients into simple (<200 cm Results: Unadjusted operative time differed markedly (Kruskal-Wallis Conclusion: The three techniques shared similar short-term safety. Adjusted data identified prolonged operative time for RASPH, while MPLH and SPLH had equivalent efficiency. SPLH was associated with greater intraoperative bleeding, whereas blood loss was comparable between MPLH and RASPH. Severe baseline imbalance restricts causal subgroup interpretation. MPLH and SPLH reached proficiency faster, offering evidence for personalized surgery and tiered training; prospective balanced cohorts are needed for further validation.
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