Comparison between single-site and multiport robot-assisted hysterectomy in obese patients with endometrial cancer: An Italian multi-institutional study

被引：10

作者：

Corrado, Giacomo ^{[1
]}

Mereu, Liliana ^{[2
]}

Bogliolo, Stefano ^{[3
]}

Cela, Vito ^{[4
]}

Gardella, Barbara ^{[5
,6
]}

Sperduti, Isabella ^{[7
]}

Certelli, Camilla ^{[8
]}

Pellegrini, Alice ^{[2
]}

Posar, Giulia ^{[4
]}

Zampa, Ashanti ^{[8
]}

Tateo, Saverio ^{[2
]}

Gadducci, Angiolo ^{[4
]}

Spinillo, Arsenio ^{[5
,6
]}

Vizza, Enrico ^{[8
]}

机构：

[1] Fdn Policlin Univ A Gemelli, IRCCS, Gynecol Oncol Unit, Dept Woman Child Hlth & Publ Hlth, Lgo Agostino Gemelli 8, I-00168 Rome, Italy

[2] Santa Chiara Hosp, Dept Obstet & Gynecol, Trento, Italy

[3] European Inst Oncol, Div Gynecol, Dept Gynecol Oncol, Milan, Italy

[4] Univ Pisa, Dept Obstet & Gynaecol, Pisa, Italy

[5] IRCCS Fdn Policlin San Matteo, Dept Obstet & Gynaecol, Pavia, Italy

[6] Univ Pavia, Pavia, Italy

[7] IRCCS, Regina Elena Natl Canc Inst, Sci Direct, Rome, Italy

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

来源：

INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY | 2020年 / 16卷 / 02期

关键词：

endometrial cancer; obesity; robotic multiport hysterectomy; robotic single-site hysterectomy; OUTCOMES; SURGERY; WOMEN;

D O I：

10.1002/rcs.2066

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background The aim of this study is to compare robotic single-site hysterectomy (RSSH) and robotic multiport hysterectomy (RMPH) for endometrial cancer (EC) in obese patients in terms of surgical outcomes. Methods This retrospective study compares RSSH with RMPH in obese patients with EC and FIGO stages I to II divided in three classes according to their body mass index (BMI): class A (30-34.9 kg/m(2)), class B (35-39.9 kg/m(2)), and class C (>40 kg/m(2)). Results We included 225 patients (RSSH: 76; RMPH: 149). The operative time and estimated blood loss (EBL) were lower in the A class of the RSSH group. The EBL and the conversion rate increased when the BMI increased in the RSSH group. The hospital stay was higher in the A class of the RMPH group. Conclusions The advantages of RSSH in terms of reduced invasiveness remain true only in the first BMI class, whereas they are lost when the BMI increased.

引用

页数：7

共 21 条

[1] Robotic Hysterectomy Strategies in the Morbidly Obese Patient [J].

Almeida, Oscar D., Jr. .

JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 2013, 17 (03) :418-422

[2]

[Anonymous], 2015, Obstet Gynecol, V125, P274, DOI 10.1097/01.AOG.0000459870.06491.71

[3] World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects [J].

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2013, 310 (20) :2191-2194

[4]

[Anonymous], 2010, COMMON TERMINOLOGY C

[5] Single-site Versus Multiport Robotic Hysterectomy in Benign Gynecologic Diseases: A Retrospective Evaluation of Surgical Outcomes and Cost Analysis [J].

Bogliolo, Stefano ;

Ferrero, Simone ;

Cassani, Chiara ;

Musacchi, Valentina ;

Zanellini, Francesca ;

Dominoni, Mattia ;

Spinillo, Arsenio ;

Gardella, Barbara .

JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2016, 23 (04) :603-609

[6] Robotic single-site hysterectomy: two institutions' preliminary experience [J].

Bogliolo, Stefano ;

Mereu, Liliana ;

Cassani, Chiara ;

Gardella, Barbara ;

Zanellini, Francesca ;

Dominoni, Mattia ;

Babilonti, Luciana ;

Delpezzo, Chiara ;

Tateo, Saverio ;

Spinillo, Arsenio .

INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, 2015, 11 (02) :159-165

[7] Robotic Single-Site Surgery in Management of Obese Patients With Early-Stage Endometrial Cancer [J].

Bogliolo, Stefano ;

Cassani, Chiara ;

Musacchi, Valentina ;

Babilonti, Luciana ;

Gardella, Barbara ;

Spinillo, Arsenio .

JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2015, 22 (04) :697-699

[8] Robotic versus laparoscopic versus open surgery in morbidly obese endometrial cancer patients - A comparative analysis of total charges and complication rates [J].

Chan, John K. ;

Gardner, Austin B. ;

Taylor, Katie ;

Thompson, Caroline A. ;

Blansit, Kevin ;

Yu, Xinhua ;

Kapp, Daniel S. .

GYNECOLOGIC ONCOLOGY, 2015, 139 (02) :300-305

[9] Robotic Single-Port Platform in General, Urologic, and Gynecologic Surgeries: A Systematic Review of the Literature and Meta-analysis [J].

Cianci, S. ;

Rosati, A. ;

Rumolo, V. ;

Alletti, S. Gueli ;

Gallotta, V. ;

Turco, L. C. ;

Corrado, G. ;

Vizzielli, G. ;

Fagotti, A. ;

Fanfani, F. ;

Scambia, G. ;

Uccella, S. .

WORLD JOURNAL OF SURGERY, 2019, 43 (10) :2401-2419

[10] Laparoscopic versus robotic hysterectomy in obese and extremely obese patients with endometrial cancer: A multi-institutional analysis [J].

Corrado, Giacomo ;

Vizza, Enrico ;

Cela, Vito ;

Mereu, Liliana ;

Bogliolo, Stefano ;

Legge, Francesco ;

Ciccarone, Francesca ;

Mancini, Emanuela ;

Gallotta, Valerio ;

Baiocco, Ermelinda ;

Monterossi, Giorgia ;

Perri, Maria Teresa ;

Zampa, Ashanti ;

Pasciuto, Tina ;

Scambia, Giovanni .

EJSO, 2018, 44 (12) :1935-1941

← 1 2 3 →