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Am J Obstet Gynecol. 2012 Jun;206(6):513.e1-6. doi: 10.1016/j.ajog.2012.01.002. Epub 2012 Jan 12.

Robotic surgical staging for obese patients with endometrial cancer.

Author information

1
Department of Gynecology, Legacy Health System, Portland, OR, USA.

Abstract

OBJECTIVE:

To compare surgical outcomes for robotic vs laparotomy staging in obese endometrial cancer patients.

STUDY DESIGN:

This was a retrospective cohort study of patients with body mass index ≥30 kg/m(2) staged in a community gynecologic oncology practice. Patients undergoing robotic staging were compared with historic laparotomy controls.

RESULTS:

One hundred twenty-nine patients underwent robotic staging, compared with 110 laparotomy patients. The robotic cohort had fewer abdominal wound complications (13.9% vs 32.7%, P < .001), but more vaginal cuff complications (4.7% vs 0%, P = .032). Blood loss was lower in the robotic group (P < .001), as was length of stay (P < .001). Surgical times were longer in the robotic group (P < .001). There was no difference in terms of percentage of patients undergoing pelvic or paraaortic lymph node dissection.

CONCLUSION:

Robotic staging for endometrial cancer is feasible in obese women, with fewer abdominal wound complications, but more vaginal cuff complications.

PMID:
22409959
DOI:
10.1016/j.ajog.2012.01.002
[Indexed for MEDLINE]

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