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Int J Med Robot. 2009 Dec;5(4):392-7. doi: 10.1002/rcs.268.

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

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1
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Robert H. Lurie Comprehensive Cancer Center, Northwestern University, 250 East Superior Street, Chicago, IL 60611, USA.

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 robotics was 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.

PMID:
19455550
DOI:
10.1002/rcs.268
[Indexed for MEDLINE]
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