Evaluation of intra- and post-operative outcomes to compare robot-assisted surgery and conventional laparoscopy for gynecologic oncology
| Autor: | Li-Yuan Xu, Fan Hou, Xiaohong Chen, Liuli Wang, Tiankang Guo, Hui Xu, Kehu Yang, Liang-liang Han, Peijing Yan, Hailin Wang, Liang Yao, Jing Li, Rong Liu |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Genital Neoplasms Female Operative Time lcsh:Surgery Conventional laparoscopy Gynecologic oncology Logistic regression 03 medical and health sciences Intraoperative Period 0302 clinical medicine Gynecologic Surgical Procedures Robotic Surgical Procedures Medicine Humans Postoperative Period Post operative Laparoscopy Retrospective Studies medicine.diagnostic_test business.industry Confounding Retrospective cohort study lcsh:RD1-811 Middle Aged Robotic assisted surgery Surgery Logistic Models Treatment Outcome 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female business |
| Zdroj: | Asian Journal of Surgery, Vol 43, Iss 1, Pp 347-353 (2020) |
| ISSN: | 0219-3108 |
| Popis: | Summary: Objective: To compare robot-assisted surgery and conventional laparoscopy for gynecologic oncology regarding intra- and post-operative outcomes. Methods: A retrospective study was performed on consecutive patients with gynecologic oncology from February 2014 to October 2017 at Gansu Provincial Hospital, China. Multivariable linear and logistic regression models were performed to explore the difference between two surgeries in the surgical outcomes after adjusting for potential confounders. Results: 276 women were included in this study: 153 robot-assisted surgeries and 123 conventional laparoscopies. The multivariable linear regression model showed that robot-assisted surgery was longer operative time [coefficient (coef), 33.76; 95% CI, 12.47, 55.05; P = 0.002) ], higher lymph node yield (coef, 10.41; 95% CI, 7.47, 13.35; P 0.05). The multivariable logistic regression model showed that post-operative complications were similar between robot-assisted surgery and conventional laparoscopy (P > 0.05). Conclusion: Robot-assisted surgery was superior to conventional laparoscopy regarding intra- and post-operative outcomes for gynecologic oncology. Keywords: Early feeding, Gynecologic oncology, Laparoscopy, Minimally invasive surgery, Robotic-assisted surgery |
| Databáze: | OpenAIRE |
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