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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)