TITLE:
Does robotic surgical staging of endometrial cancer compromise outcomes?
AUTHORS:
Holly Sato, Brent DuBeshter, Amber Robins, Cynthia Angel, Eugene Toy, Sajeena Thomas
KEYWORDS:
Endometrial Cancer; Surgical Staging; Robotic-Assisted Hysterectomy; Outcomes; Recurrence
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.1,
January
11,
2013
ABSTRACT:
Objective: To
compare intra-operative and post-operative complications as well as recurrence in women withendometrial
cancer undergoing surgical stagingwith robotic-assisted
laparoscopic hysterectomy (RALH)versus total abdominal hysterectomy (TAH).
Methods: A retrospective review was performed of 416 patients who
underwent surgical staging for endometrial adenocarcinoma from January 1, 2008
to December 31, 2010. Demographics,intraand
post-operative complications, surgical-pathologic data, subsequent treatments,
and recurrence were compared in women treated with TAH versus RALH. A Student’st-test, Mann Whitney U analysis, or
chi-squared analysis were used for statistical analysis. Results: One hundred
thirty seven and 279 patients underwent TAH and RALH, respectively.
Post-operative complications were lower in the RALH group (16.8% vs 8.2%, p = 0.009)
and mean hospital stay for the TAH group versus the RALH group was 3 days
versus 1 day (p