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Abstract
This study compared surgical outcomes, hospital charges, and patient satisfaction among women undergoing total laparoscopic hysterectomy for non-malignant indications with and without robotic assistance. A retrospective review of 299 cases (44.8% robotic) from three hospitals (2008–2010) was conducted, with 33% completing follow-up surveys. Robotic assistance was associated with higher hospital charges, particularly at two hospitals, but showed no significant differences in operative time, blood loss, complications, length of stay, or patient satisfaction. Patients receiving robotic assistance tended to have higher age, BMI, and cancer history. Findings suggest increased cost without clear clinical or satisfaction benefit.