Robotic-assisted, laparoscopic, and vaginal hysterectomy in morbidly obese patients with endometrial hyperplasia and endometrial cancer

被引：5

作者：

Giannini, Andrea ^{[1
]}

D'Oria, Ottavia ^{[2
]}

Vizza, Enrico ^{[3
]}

Congiu, Mario A. ^{[4
]}

Cuccu, Ilaria ^{[5
]}

D'Auge, Tullio Golia ^{[5
]}

Saponara, Stefania ^{[6
]}

Capalbo, Giuseppe ^{[5
]}

Di Donato, Violante ^{[5
]}

Raspagliesi, Francesco ^{[7
]}

Bogani, Giorgio ^{[7
]}

机构：

[1] Sapienza Univ Rome, St Andrea Hosp, Dept Surg & Med Sci & Translat Med, Unit Gynecol, Rome, Italy

[2] San Camillo Forlanini Hosp, Dept Womans & Childs Hlth, Obstet & Gynecol Unit, Rome, Italy

[3] IRCCS Regina Elena Natl Canc Inst, Dept Expt Clin Oncol, Gynecol Oncol Unit, Rome, Italy

[4] Chirurg Gynecooncol Clin Champeau Mediterranee & C, Beziers, France

[5] Sapienza Univ Rome, Dept Gynecol Obstet & Urol Sci, Rome, Italy

[6] Univ Cagliari, Dept Surg Sci, Div Gynecol & Obstet, Cagliari, Italy

[7] Fdn IRCCS Ist Nazl Tumori, Gynecol Oncol Unit, Milan, Italy

来源：

MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES | 2024年 / 33卷 / 06期

关键词：

Endometrial cancer; robotic-assisted; laparoscopy; vaginal hysterectomy; obesity; SURGERY; SURVIVAL; OUTCOMES; RISK;

D O I：

10.1080/13645706.2024.2407845

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BackgroundHysterectomy for endometrial hyperplasia and endometrial cancer in morbidly obese patients is challenging. Here, we reported data regarding three minimally invasive approaches. MethodThis is a multicenter retrospective study evaluating 30-day and 90-day surgery-related outcomes of morbidly obese patients (those with BMI > 40kg/m2) undergoing robotic-assisted, laparoscopic, and vaginal hysterectomy. ResultsCharts of 95 morbidly obese patients who underwent surgery for endometrial cancer were retrieved. Overall, robotic-assisted, laparoscopic, and vaginal surgeries were performed in 35 (36.8%), 38 (40%), and 22 (23.2%) patients, respectively. Patients having robotic-assisted surgery experienced longer operative time than patients having vaginal and laparoscopic approaches (p < 0.001). Surgical approaches did not influence the risk of having intraoperative and severe (Clavien-Dindo grade 3 or more) postoperative complications. No 90-day mortality occurred. ConclusionsRobotic-assisted, laparoscopic, and vaginal surgery represent three safe and feasible minimally invasive approaches to manage morbidly obese patients with endometrial hyperplasia and endometrial cancer.

引用

页码：358 / 364

页数：7

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