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Table 4 Adjusted analysis of operative outcomes

From: A value-based evaluation of minimally invasive hysterectomy approaches

Variable, adj. median (95% CI)a

LRH

LSH

RALH

TLH

LAVH

TVH

p value

Number of ports—adj. counts

2.1 (2.0, 2.2)

3.3 (3.1, 3.5)*

4.7 (4.5, 4.9)*

3.5 (3.3, 3.7)*

3.3 (3.1, 3.5)*

N/A

< 0.0001

EBL (mL)

100.1 (90.3, 109.9)

116.6 (106.1, 127.90)

100.9 (92.1, 109.7)

114.5 (103.2, 125.7)

135.9 (125.1, 146.7)*

188.9 (169.2, 208.6)*

< 0.0001

LOS (days)

0.2 (0.2, 0.2)

0.5 (0.5, 0.6)*

1.1 (1.0, 1.2)*

0.8 (0.7, 0.9)*

0.8 (0.7, 0.9)*

1.2 (1.0, 1.4)*

< 0.0001

OT (min)

71.2 (66.9, 75.5)

119.9 (115.3, 124.6)*

99.6 (95.7, 103.6)*

110.9 (105.8, 115.9)*

117.0 (112.1, 121.8)*

93.1 (84.3, 101.9)*

< 0.0001

Prob. IntraOp Comp, %

2.1 (1.0, 3.2)

5.1 (2.9, 7.3)

5.6 (3.7, 7.6)*

5.8 (3.3, 8.3)*

7.1 (4.4, 9.8)*

9.6 (3.1, 16.0)*

0.0033

Prob. PostOp Comp, %

3.6 (1.9, 5.2)

4.9 (3.0, 6.9)

11.4 (8.7, 14.0)*

5.1 (2.8, 7.5)

8.4 (5.6, 11.3)*

1.8 (0.0, 4.3)

< 0.0001

Prob. Convert Open, %

0.0 (0.0, 0,0)

1.0 (0.0, 1.9)

0.4 (0.0, 1.2)

4.8 (1.5, 8.2)

0.0 (0.0, 0.0)

0.0 (0.0, 0.0)

N/A

Total cases

756

471

576

361

404

121

 
  1. Adjusted for age, race, number of previous abdominal surgeries, BMI, number of comorbidities, weight, uterine size, number of additional procedures, and surgeon’s volume
  2. LRH laparoscopic retroperitoneal hysterectomy, LSH laparoscopic supracervical hysterectomy, RALH robotically assisted laparoscopic hysterectomy, TLH total laparoscopic hysterectomy, LAVH laparoscopically assisted vaginal hysterectomy, TVH total vaginal hysterectomy, EBL estimated blood loss, LOS length of stay, OT operative time, IntraOp intraoperative, PostOp postoperative, Comp complications, Prob Convert Open probability of conversion to laparotomy
  3. *Statistical significance in post hoc analysis comparing each surgical procedure to LRH. Significance probability corrected to maintain the family-wise error rate at α = 0.05
  4. aUnless otherwise indicated, values are given as adjusted medians (95% CI)