Changes in anti-Müllerian hormone values for ovarian reserve after minimally invasive benign ovarian cystectomy: comparison of the Da Vinci robotic systems (Xi and SP) and the laparoscopic system

Yunjeong Park, Ayoung Song, Junghyun Jee, Na-Young Bae, Nayoung Bae, Sumin Oh, Jung‐Ho Shin, Jung-Ho Shin, Yong Jin Kim
Scientific reports · 2024 · vol. 14(1) , pp. 9099 · doi:10.1038/s41598-024-59935-2 · PMID:38643310 · W4394988675
article OA: gold CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study compared anti-Müllerian hormone changes after benign ovarian cystectomy and found no significant difference in ovarian reserve preservation between Da Vinci robotic systems (Xi and SP) and the laparoscopic system.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This retrospective single-institution study compared the impact on ovarian reserve after minimally invasive benign ovarian cystectomy using Da Vinci robotic systems (Xi or SP) versus conventional laparoscopy, with AMH measured preoperatively (within 4 weeks) and postoperatively (1 month to 1 year). Among 132 patients, operative time was shorter in the laparoscopic group, and while pre- and post-operative AMH values were higher in the robotic groups, the percentage change in AMH (ΔAMH) was not significantly different between laparoscopy and robotic surgery overall or between Xi and SP; this remained true in subgroups including patients with preAMH < 2 and those diagnosed with endometriosis. A major limitation is that patients chose their preferred surgical approach, introducing potential selection bias, and outcomes were based on a relatively small, single-center retrospective cohort. Relevance to endometriosis: the paper reports that even in patients diagnosed with endometriosis, ΔAMH did not differ between laparoscopic and robotic groups, though the study’s primary focus is comparing AMH changes across surgical platforms for benign ovarian cystectomy.

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Abstract

To investigate the impact on the ovarian reserve after minimally invasive ovarian cystectomy using two platforms, the Da Vinci robotic system (Xi and SP) and the laparoscopic system. Patients underwent laparoscopic or Da Vinci robotic (Xi or SP) ovarian cystectomy for benign ovarian cysts between January 1, 2018, and December 31, 2022 at Guro Hospital, Korea University Medical center. We measured the change of AMH values (%) = [(postAMH - preAMH)] × 100/preAMH. No significant differences in preoperative age, cyst size, estimated blood loss during surgery, hemoglobin drop, length of hospital stay, adhesion detachment rate and cyst rupture rate were observed. However, the operative time was significantly shorter in the laparoscopic group than that in the robotic group (67.78 ± 30.58 min vs. 105.17 ± 38.87 min, p < 0.001) The mean preAMH and postAMH were significantly higher with the Da Vinci robotic group than with the laparoscopic group (preAMH: 5.89 ± 4.81 ng/mL vs. 4.01 ± 3.59 ng/mL, p = 0.02, postAMH: 4.36 ± 3.31 ng/mL vs. 3.08 ± 2.60 ng/mL, p = 0.02). However, the mean ΔAMH was not significantly different between two groups. ΔAMH also did not demonstrate significant differences among the three groups; laparoscopic, Xi and SP robotic. Even in the patient groups with preAMH < 2 and diagnosed with endometriosis, the ΔAMH did not show significant differences between the laparoscopic and robotic groups. The Da Vinci robotic system is no inferior to conventional laparoscopic systems in preserving ovarian function.

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Condition tags

endometriosis

MeSH descriptors

Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts Cysts

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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