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Original Research

Open Access Special Issue

Short-term outcomes for patients with endometrial cancer who received robot-assisted modified radical hysterectomy: A retrospective observational study

  • Tomohito Tanaka1,2,*,
  • Shoko Ueda1,†
  • Shunsuke Miyamoto1,†
  • Shinichi Terada1,†
  • Hiromi Konishi1,†
  • Yuhei Kogata1,†
  • Satoe Fujiwara1,†
  • Yoshimichi Tanaka1,†
  • Kohei Taniguchi2,†
  • Kazumasa Komura2,†
  • Masahide Ohmichi1

1Department of Obstetrics and Gynecology, Osaka Medical College, 2-7, Daigakumachi, Takatsuki, 569-8686 Osaka, Japan

2Translational Research Program, Osaka Medical College, 2-7, Daigakumachi, Takatsuki, 569-8686 Osaka, Japan

DOI: 10.31083/j.ejgo.2021.01.2262 Vol.42,Issue 1,February 2021 pp.90-95

Submitted: 30 September 2020 Accepted: 11 November 2020

Published: 15 February 2021

(This article belongs to the Special Issue Minimally Invasive Surgery in Gynecologic Oncology)

*Corresponding Author(s): Tomohito Tanaka E-mail: gyn123@osaka-med.ac.jp

† These authors contributed equally.

Abstract

Objective: Minimally invasive surgery is a standard treatment for endometrial cancer patients with uterine-confined disease. Robot-assisted surgery has been covered under public insurance since 2018 in Japan. The aim of the current study was to compare the short-term outcomes between robot-assisted modified radical hysterectomy (RAMRH) and total laparoscopic modified radical hysterectomy (TLMRH). Methods: A total of 190 patients with endometrial cancer who had undergone RAMRH or TLMRH were retrospectively reviewed. Short-term outcomes, including surgical time, estimated blood loss, complications, and hospital stay, were compared between the groups. Results: Among 190 patients, including 67 with RAMRH and 123 with TLMRH, the median (interquartile range [IQR]) surgical time was 247 (IQR: 221-313) min in RAMRH and 271 (IQR: 236-280) min in TLMRH. The estimated blood loss was less than 10 mL in most cases. There was 1 major vessel injury and 1 vescio-vaginal fistula in the RAMRH group. In contrast, there were 2 bladder injuries, 1 bowel injury, 2 obturator nerve injuries, 1 major vessel injury, and 2 pelvic abscesses in the TLMRH group. The median hospital stay was 10 (IQR: 10-10) days in RAMRH and 9 (IQR: 9-10) days in TLMRH. Conclusion: Robot-assisted procedures were not associated with poorer short-term outcomes than laparoscopy in patients with endometrial cancer.


Keywords

Endometrial cancer; Robot assisted hysterectomy; Laparoscopic hysterectomy; Minimally invasive surgery


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Tomohito Tanaka,Shoko Ueda,Shunsuke Miyamoto,Shinichi Terada,Hiromi Konishi,Yuhei Kogata,Satoe Fujiwara,Yoshimichi Tanaka,Kohei Taniguchi,Kazumasa Komura,Masahide Ohmichi. Short-term outcomes for patients with endometrial cancer who received robot-assisted modified radical hysterectomy: A retrospective observational study. European Journal of Gynaecological Oncology. 2021. 42(1);90-95.

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