Laparoscopic Versus Robotic Hysterectomy in Obese Patients With Early-stage Endometrial Cancer: A Single-centre Analysis
| Autor: | Shintaro Maki, Michiko Kaneda, Masafumi Nii, Tomoaki Ikeda, Ryo Nimura, Kenta Yoshida, Eiji Kondo |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Laparoscopic surgery Cancer Research medicine.medical_specialty medicine.medical_treatment Hysterectomy Pelvis Robotic Surgical Procedures Blood loss medicine Humans Robotic surgery Obesity Stage (cooking) Aged Retrospective Studies business.industry Endometrial cancer General Medicine Length of Stay Middle Aged medicine.disease Endometrial Neoplasms Surgery Robotic hysterectomy Single centre Oncology Lymph Node Excision Female Laparoscopy business Body mass index |
| Zdroj: | Anticancer Research. 41:4163-4167 |
| ISSN: | 1791-7530 0250-7005 |
| Popis: | Background/aim To compare the surgical outcomes of robotic and laparoscopic hysterectomy with or without pelvic lymphadenectomy among obese patients [body mass index (BMI) >30 kg/m2] with early-stage endometrial cancer. Patients and methods We examined 42 obese patients with early-stage endometrial cancer who underwent laparoscopic (LH) or robotic hysterectomy (RH) between April 2014 and April 2020 in our institution. We analysed intraoperative and postoperative data for both procedures. Results Of the 42 women, 22 and 20 patients underwent RH and LH, respectively, with or without pelvic lymphadenectomy. The operation times, harvested lymph nodes, and BMI did not differ between the groups. In the subset of patients who underwent pelvic lymphadenectomy, those in the RH group had shorter hospital stays (p=0.001) and less intraoperative bleeding (p=0.006). Conclusion Obese patients with endometrial cancer who underwent robotic surgery had less blood loss and shorter hospital stays than those who underwent laparoscopic surgery. |
| Databáze: | OpenAIRE |
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