Robotic surgical staging for obese patients with endometrial cancer

被引：33

作者：

Tang, Karen Y. ^{[1
]}

Gardiner, Stuart K. ^{[2
]}

Gould, Claire ^{[1
]}

Osmundsen, Blake ^{[1
]}

Collins, Michael ^{[1
]}

Winter, William E., III ^{[3
]}

机构：

[1] Legacy Hlth Syst, Dept Gynecol, Portland, OR USA

[2] Legacy Hlth Syst, Devers Eye Inst, Portland, OR USA

[3] Compass Oncol, Portland, OR USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2012年 / 206卷 / 06期

关键词：

endometrial cancer; obesity; robotic surgery; ASSISTED LAPAROSCOPIC HYSTERECTOMY; TOTAL ABDOMINAL HYSTERECTOMY; VAGINAL CUFF DEHISCENCE; WOMEN; LAPAROTOMY; OUTCOMES; RISK; LYMPHADENECTOMY; EXPERIENCE;

D O I：

10.1016/j.ajog.2012.01.002

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: To compare surgical outcomes for robotic vs laparotomy staging in obese endometrial cancer patients. STUDY DESIGN: This was a retrospective cohort study of patients with body mass index >= 30 kg/m(2) staged in a community gynecologic oncology practice. Patients undergoing robotic staging were compared with historic laparotomy controls. RESULTS: One hundred twenty-nine patients underwent robotic staging, compared with 110 laparotomy patients. The robotic cohort had fewer abdominal wound complications (13.9% vs 32.7%, P < .001), but more vaginal cuff complications (4.7% vs 0%, P = .032). Blood loss was lower in the robotic group (P < .001), as was length of stay (P < .001). Surgical times were longer in the robotic group (P < .001). There was no difference in terms of percentage of patients undergoing pelvic or paraaortic lymph node dissection. CONCLUSION: Robotic staging for endometrial cancer is feasible in obese women, with fewer abdominal wound complications, but more vaginal cuff complications.

引用

页码：513.e1 / 513.e6

页数：6

共 29 条

[1] Comparison of outcomes and cost for endometrial cancer staging via traditional laparotomy, standard laparoscopy and robotic techniques [J].