PURPOSE: Use of robotics in oncologic surgery is increasing; however, reports of safety and efficacy are from highly experienced surgeons and centers. We performed a population-based analysis to compare laparoscopic hysterectomy and robotic hysterectomy for @entity1204 . @entity1 AND METHODS: The Perspective database was used to identify @entity1 who underwent a minimally invasive hysterectomy for @entity1204 from 2008 to 2010. Morbidity, mortality, and cost were evaluated using multivariable logistic and linear regression models. RESULTS: We identified 2,464 @entity1 , including 1,027 (41.7%) who underwent laparoscopic hysterectomy and 1,437 (58.3%) who underwent robotic hysterectomy. @entity1 treated at larger hospitals, nonteaching hospitals, and centers outside of the northeast were more likely to undergo a robotic hysterectomy procedure, whereas black @entity1 , those without insurance, and @entity1 in rural areas were less likely to undergo a robotic hysterectomy procedure (P < .05 for all). The overall complication rate was 9.8% for laparoscopic hysterectomy versus 8.1% for robotic hysterectomy (P = .13). The adjusted odds ratio (OR) for any morbidity for robotic hysterectomy was 0.76 (95% CI, 0.56 to 1.03). After adjusting for @entity1 , surgeon, and hospital characteristics, there were no significant differences in the rates of @entity3816 (OR, 0.68; 95% CI, 0.42 to 1.08), surgical site complications (OR, 1.49; 95% CI, 0.81 to 2.73), medical complications (OR, 0.64; 95% CI, 0.40 to 1.01), or prolonged hospitalization (OR, 0.85; 95% CI, 0.64 to 1.14) between the procedures. The mean cost for robotic hysterectomy was  10,618 versus  8,996 for laparoscopic hysterectomy (P < .001). In a multivariable model, robotic hysterectomy was significantly more costly ( 1,291; 95% CI,  985 to  1,597). CONCLUSION: Despite claims of decreased complications with robotic hysterectomy, we found similar morbidity but increased cost compared with laparoscopic hysterectomy. Comparative long-term efficacy data are needed to justify its widespread use.

Comparative effectiveness of robotic versus laparoscopic hysterectomy for XXXX .

@entity1204 :: ('MESH:D016889', 'Disease') :: ['endometrial cancer'] @entity1 :: ('9606', 'Species') :: ['women', 'patient', 'Women', 'PATIENTS'] @entity3816 :: ('MESH:D007431', 'Disease') :: ['intraoperative complications']
@entity1204 :: (MESH:D016889,Disease) :: ['endometrial cancer']
