A comparative study of 3 surgical methods for hysterectomy with staging for endometrial cancer: robotic assistance, laparoscopy, laparotomy

被引：46
作者：
Boggess, John F. [1 ]
Gehrig, Paola A. [1 ]
Cantrell, Leigh [1 ]
Shafer, Aaron [1 ]
Ridgway, Mildred [1 ]
Skinner, Elizabeth N. [1 ]
Fowler, Wesley C. [1 ]
机构：
[1] Univ N Carolina, Sch Med, Dept Obstet & Gynecol, Div Gynecol Oncol, Chapel Hill, NC 27599 USA
来源：
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2008年 / 199卷 / 04期
关键词：
endometrial cancer; hysterectomy; laparoscopy; laparotomy; robotic assistance;
D O I：
10.1016/j.ajog.2008.08.012
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
OBJECTIVE: The purpose of this study was to compare outcomes in women who underwent endometrial cancer staging by different surgical techniques. STUDY DESIGN: Three hundred twenty-two women underwent endometrial cancer staging: 138 by laparotomy (TAH); 81 by laparoscopy (TLH) and 103 by robotic technique (TRH). RESULTS: The TRH cohort had a higher body mass index than the TLH cohort (P = .0008). Lymph node yield was highest for TRH (P < .0001); hospital stay (P < .0001) and estimated blood loss (P < .0001) were lowest for this cohort. Operative time was longest for TLH (213.4 minutes) followed by TRH (191.2 minutes) and TAH (146.5 minutes; P < .0001. Postoperative complication rates were lower for TRH, compared with TAH (5.9% vs 29.7%; P < .0001). Conversion rates for the robotic and laparoscopic groups were similar. CONCLUSION: TRH with staging is feasible and preferable over TAH and may be preferable over TLH in women with endometrial cancer. Further study is necessary to determine long-term oncologic outcomes.
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收藏
页码：360.e1 / 360.e9
页数：9
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