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

被引：47

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.

引用

页码：360.e1 / 360.e9

页数：9

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