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 language | English (US) |
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Pages (from-to) | 392-397 |
Number of pages | 6 |
Journal | International Journal of Medical Robotics and Computer Assisted Surgery |
Volume | 5 |
Issue number | 4 |
DOIs | |
State | Published - 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