Robotic-assisted total laparoscopic hysterectomy and staging for the treatment of endometrial cancer: a comparison with conventional laparoscopy and abdominal approaches

The treatment of endometrial cancer using a minimally invasive approach provides benefits to the patient; however, there are currently few papers comparing robotic total laparoscopic hysterectomy with staging to conventional laparoscopic and abdominal approaches. Analyses of 102 consecutive patients...

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Bibliographic Details
Published in:Journal of robotic surgery 2012-09, Vol.6 (3), p.199-205
Main Authors: Estape, Ricardo, Lambrou, Nicholas, Estape, Eric, Vega, Oscar, Ojea, Trisha
Format: Article
Language:English
Subjects:
Abdomen
Body mass index
Body size
Cancer
Cancer therapies
Catheters
Endometrial cancer
Hysterectomy
Laparoscopy
Laparotomy
Lymphatic system
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Oncology
Oophorectomy
Original Article
Patients
Robotic surgery
Robotics
Robots
Surgery
Urology
Vagina
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Summary:The treatment of endometrial cancer using a minimally invasive approach provides benefits to the patient; however, there are currently few papers comparing robotic total laparoscopic hysterectomy with staging to conventional laparoscopic and abdominal approaches. Analyses of 102 consecutive patients undergoing robotic total hysterectomy were compared to historical cohorts of 104 patients undergoing laparoscopic total hysterectomy and 78 patients undergoing abdominal total hysterectomy (laparotomy). The majority of all patients were FIGO’88 stage IB. Patient characteristics were similar, except for lower age ( P  = 0.0236) and body mass index ( P  = 0.0134) in the laparoscopy group when compared to laparotomy. Operative time was longer for the robotic group at 108.7 min, compared to 79.4 min for laparoscopy ( P  = 0.0207) and 84.0 min for laparotomy ( P  
ISSN:1863-2483
1863-2491
DOI:10.1007/s11701-011-0290-7