The impact of robotics on practice management of endometrial cancer: Transitioning from traditional surgery

Anna V. Hoekstra, Arati Jairam-Thodla, Alfred Rademaker, Diljeet K. Singh, Barbara M. Buttin, John R. Lurain, Julian C. Schink, M. Patrick Lowe

Research output: Contribution to journalArticlepeer-review

57 Scopus citations

Abstract

Background: Evaluation of the impact of a new robotic surgery programme on perioperative outcomes for endometrial cancer Methods: A prospective database of all patients undergoing staging for endometrial cancer during July 2007-July 2008 was collected and analysed. Demographic data and perioperative outcomes were compared between cases performed via laparotomy, laparoscopy and robotics. Results: Sixty-five patients underwent staging during the time of data collection (LAP-26, LSC-7, ROB-32). No difference in surgical volume in the year before vs. after roboticswas identified. Median operative time for robotics and laparotomy was significantly less than for laparoscopy (p = 0.023). There was no significant difference in lymph node yields between the three groups (p = 0.92). Robotics was associated with significantly less blood loss (p < 0.0001). Complication rates were significantly lower in the robotic group compared to the laparotomy group (p = 0.05). Median hospital stay was 1 day for the minimally invasive groups. Total number of perioperative inpatient days decreased from 331 to 150 in one year. Practice management of endometrial cancer transitioned from a predominantly open approach (5.6% LSC) to robotics (11% LSC, 49% ROB) within 12 months. Conclusions: Robotic surgery dramatically altered our management of endometrial cancer and was associated with a significant improvement in several perioperative outcomes when compared to laparotomy and laparoscopy.

Original languageEnglish (US)
Pages (from-to)392-397
Number of pages6
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume5
Issue number4
DOIs
StatePublished - Dec 2009

Keywords

  • Da Vinci® surgical system
  • Emdometrial cancer
  • Gynaecological oncology
  • Minimally invasive surgery
  • Robotic hysterectomy
  • Robotics

ASJC Scopus subject areas

  • Surgery
  • Biophysics
  • Computer Science Applications

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