Objective:To compare the relative merits between robotic-assisted laparoscopic myomectomy and laparoscopic myomectomy by conducting a meta-analysis to provide the basis for clinical treatment of uterine fibroids. Methods:Embase

Pub Med

Web of Science

Cochrane Library databases

VIP

CNKI

Chinese biomedical literature database

Wanfang digital journals database and google scholar were searched from the built of the databases to June 2015 by computer. Literature screening

data extraction and quality assessment were applied independently by two reviewers

and then statistical analysis and publication bias test were made with Review Manager 5.3 and Stata 11.2. Dichotomousvariables were presented by pooled odds ratios with 95% confidence intervals and continuous variables were presented by weighted mean differences with 95% confidence intervals. Results:Nine studies were included in the meta-analysis. These studies involved a total of 1 000 patients who underwent both robotic-assisted laparoscopic myomectomy and laparoscopic myomectomy. Estimated blood loss(WMD=-34.66

95%CI=-63.55 to-5.78

P=0.020)

the number of conversions(OR=0.34

95%CI=0.13 to 0.88

P=0.030)and the number of complications(OR=0.52

95%CI =0.32 to 0.85

P =0.009) were significantly lower in robotic-assisted laparoscopic myomectomy and the number of transfusions

the length of hospital stay

operating time and the size of the largest fibroids were not significant different between robotic-assisted laparoscopic myomectomy and laparoscopic myomectomy. Conclusion :Robotic- assisted laparoscopic myomectomy is safer and more reliable than laparoscopic myomectomy for patients with uterine fibroids. Robotic-assisted laparoscopic myomectomy is associated with significantly lowered intra-operative blood loss

number of conversions and complications than laparoscopic myomectomy. There is no significant difference between robotic-assisted laparoscopic myomectomy and laparoscopic myomectomy concerning length of hospital stay

operating time

number of transfusions and the diameter of the largest fibroids.