+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Surgical and oncological outcome of robotic surgery compared to laparoscopic and abdominal surgery in the management of endometrial cancer



Surgical and oncological outcome of robotic surgery compared to laparoscopic and abdominal surgery in the management of endometrial cancer



European Journal of Surgical Oncology 41(8): 1074-1081



To compare different techniques of minimally invasive surgery (laparoscopy and robotics) to abdominal surgery in order to identify the optimal surgical technique in the treatment of endometrial cancer. A single-institutional, matched, retrospective, cohort study was performed. All patients with clinical stage I or occult stage II endometrial cancer who underwent robotic hysterectomy, bilateral salpingo-oophorectomy ± lymphadenectomy from August 2010 and December 2013 were identified. Surgical and oncological outcomes were compared with patients matched by age, body mass index, tumor histology, and grade, who underwent abdominal or laparoscopic surgery between January 2001 and December 2013. Three groups were identified: 177 laparotomies (group A), 277 laparoscopies (group B) and 72 robotics (group C). There were no statistically significant differences between the three groups in terms of age, BMI and FIGO stage. The operative time was shortest in group B (p = 0.0001). Blood loss and transfusions were equivalent in group B and C, while they were greater in group A (p = 0.0001). The intra-operative, early and late postoperative complications, rate of conversion, the re-intervention and median hospital stay were lower in group C. The rate of recurrence and death from disease was similar in all three groups. Minimally invasive surgery was superior to abdominal surgery in terms of surgical outcomes. Robotic surgery was superior to laparoscopy in terms of intra- and post-operative complications, conversion rates, length of hospital stay and re-interventions. In terms of oncological outcomes the three groups were equivalent.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058941312

Download citation: RISBibTeXText

PMID: 26002986

DOI: 10.1016/j.ejso.2015.04.020


Related references

Surgical and Oncological Outcome of Robotic Surgery Compared With Laparoscopic and Abdominal Surgery in the Management of Locally Advanced Cervical Cancer After Neoadjuvant Chemotherapy. International Journal of Gynecological Cancer 26(3): 539-546, 2016

Robotic, laparoscopic and open surgery for gastric cancer compared on surgical, clinical and oncological outcomes: a multi-institutional chart review. A study protocol of the International study group on Minimally Invasive surgery for GASTRIc Cancer-IMIGASTRIC. Bmj Open 5(10): E008198, 2015

Surgical outcome of robotic surgery in morbidly obese patient with endometrial cancer compared to laparotomy. International Journal of Gynecological Cancer 22(1): 76-81, 2012

Clinical outcome and complications of laparoscopic surgery compared with traditional surgery in women with endometrial cancer. Archives of Gynecology and Obstetrics 270(1): 25-30, 2004

A comparison of open surgery, robotic-assisted surgery and conventional laparoscopic surgery in the treatment of morbidly obese endometrial cancer patients. Jsls 19(1): E2014.00001, 2016

Laparoscopic surgery compared to traditional abdominal surgery in the management of early stage cervical cancer. European Journal of Gynaecological Oncology 33(4): 395-398, 2012

Robotic vs Open Surgery for Endometrial Cancer in Elderly Patients: Surgical Outcome, Survival, and Cost Analysis. International Journal of Gynecological Cancer 28(4): 692-699, 2018

Laparoscopic Surgery for Early-Stage Endometrial Cancers: Analysis of Oncological Outcome and Survival. Journal of Minimally Invasive Gynecology 16(6): S139-S140, 2009

Effect of surgeon's experience on the surgical outcome of laparoscopic surgery for women with endometrial cancer. Gynecologic Oncology 78(1): 58-61, 2000

Impact of age on surgical staging and approaches (laparotomy, laparoscopy and robotic surgery) in endometrial cancer management. European Journal of Surgical Oncology 43(4): 703-709, 2017

Surgical outcome of laparoscopic surgery, including laparoendoscopic single-site surgery, for retroperitoneal paraganglioma compared with adrenal pheochromocytoma. Journal of Endourology 28(6): 686-692, 2014

Short- and Long-Term Oncological Outcome After Rectal Cancer Surgery: a Systematic Review and Meta-Analysis Comparing Open Versus Laparoscopic Rectal Cancer Surgery. Journal of Gastrointestinal Surgery 22(8): 1418-1433, 2018

Improved surgical safety after laparoscopic compared to open surgery for apparent early stage endometrial cancer: results from a randomised controlled trial. European Journal of Cancer 48(8): 1147-1153, 2012

Total mesorectal excision: a comparison of oncological and functional outcomes between robotic and laparoscopic surgery for rectal cancer. Surgical Endoscopy 27(6): 1887-1895, 2013

Comparison of Surgical Outcomes between Robotic and Laparoscopic Gastrectomy for Gastric Cancer: The Learning Curve of Robotic Surgery. Journal of Gastric Cancer 12(3): 156-163, 2012