Short‐term outcomes of robot‐assisted versus conventional laparoscopic surgery for early‐stage endometrial cancer: A retrospective, single‐center study

• DOI: 10.1111/jog.14293
• Publication Date: 2020-05-15T05:26:25Z
• Authors: Kiyoshi Aiko; Kiyoshi Kanno; Shiori Yanai; Sayaka Masuda; Michiru Yasui; Fuyuki Ichikawa; Yasuhiro Teishikata; Terumi Shirane; Yasunori Yoshino; Shintaro Sakate; Mari Sawada; Akira Shirane; Yoshiaki Ota; Masaaki Andou
• Keywords: Lymphadenectomy; Single Center

Abstract Aim We compared the short‐term outcomes between conventional laparoscopic surgery (CLS) and robot‐assisted (RAS) to assess technical feasibility of latter for early‐stage endometrial cancer. Methods retrospectively perioperative two groups 223 patients (CLS group, n = 102; RAS 121) with Surgical procedures included hysterectomy, bilateral salpingo‐oophorectomy retroperitoneal lymphadenectomy. analyzed data from intrapelvic alone because para‐aortic lymphadenectomy was performed via endoscopic extraperitoneal approach without robot both groups. Results No differences were identified in patients' age body mass index. The mean operative time 133 ± 28 versus 178 41 min ( P < 0.01), blood loss 196 153 237 146 mL 0.047), length postoperative hospital stay 9 4 8 3 days 0.01) rate complications Clavien‐Dindo grade III or higher 2.0 3.4% 0.53) CLS groups, respectively. There no significant difference number resected lymph nodes. Conclusion significantly longer greater group than a These are within an acceptable clinical range, showing that is feasible safe cancer, providing comparable those surgery. Future studies warranted compare long‐term oncological by extending observation period including data.