Does Robot Assisted Laparoscopy (RAL) Have an Advantage in Preservation of Ovarian Reserve in Endometriosis Surgery? Comparison of Single-Port Access (SPA) RAL and SPA Laparoscopy

The purpose of this study was to compare single-port access (SPA) laparoscopy and SPA robot assisted (RAL) for endometriosis with respect ovarian reserve preservation surgical outcomes. Clinical factors affecting any reduction in function after surgery were also evaluated. Patients who underwent (n = 87) or RAL 78) retrospectively reviewed. Patients’ baseline characteristics, including the severity outcomes complexity, collected. To assess surgery, serum anti-Müllerian hormone (AMH) levels before at two weeks, three months Age, cyst size, location cyst, complexity associated AMH surgery. higher group than group. There no significant differences other clinical preoperative levels. For outcomes, radical more frequently performed In univariate multivariate linear regression analyses, age, Incorporating approaches risk postoperative decrease, beneficial patients mild (stage I/II) (postoperative 3 month rate (%), vs. RAL, 33.51 ± 19.98 23.58 14.98, p 0.04) non-complex 37.89 22.37 17.49, 0.022). may have advantages over preservation, especially undergone a