• Jenna R Zechmeister, Tarah L Pua, Leslie R Boyd, Stephanie V Blank, John P Curtin, and Bhavana Pothuri.
• Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, NYU Langone Medical Center, New York, NY.
• Am. J. Obstet. Gynecol. 2015 Feb 1; 212 (2): 194.e1-7.

ObjectiveWe sought to compare robotic vs laparoscopic surgery in regards to patient reported postoperative pain and quality of life.Study DesignThis was a prospective study of patients who presented for treatment of a new gynecologic disease requiring minimally invasive surgical intervention. All subjects were asked to take the validated Brief Pain Inventory-Short Form at 3 time points to assess pain and its effect on quality of life. Statistical analyses were performed using Pearson x(2) and Student's t test.ResultsOne hundred eleven were included in the analysis of which 56 patients underwent robotic assisted surgery and 55 patients underwent laparoscopic surgery. There was no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. There was a statistically significant difference found at the delayed postoperative period when evaluating interference of sleep, favoring laparoscopy (ROB 2.0 vs LSC 1.0; P = .03). There were no differences found between the robotic and laparoscopic groups of patients receiving narcotics (56 vs 53, P = .24, respectively), route of administration of narcotics (47 vs 45, P > .99, respectively), or administration of nonsteroidal antiinflammatory medications (27 vs 21, P = .33, respectively).ConclusionOur results demonstrate no difference in postoperative pain between conventional laparoscopy and robotic assisted surgery for gynecologic procedures. Furthermore, pain did not appear to interfere consistently with any daily activity of living. Interference of sleep needs to be further evaluated after controlling for bilateral salpingo-oophorectomy.Copyright © 2015 Elsevier Inc. All rights reserved.

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