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European Journal of Gynaecological Oncology  2021, Vol. 42 Issue (1): 90-95    DOI: 10.31083/j.ejgo.2021.01.2262
Special Issue: Topic Collection "Minimally Invasive Surgery in Gynecological Oncology"
Original Research Previous articles | Next articles
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
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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.
Key words:  Endometrial cancer      Robot assisted hysterectomy      Laparoscopic hysterectomy      Minimally invasive surgery     
Submitted:  30 September 2020      Revised:  06 November 2020      Accepted:  11 November 2020      Published:  15 February 2021     
*Corresponding Author(s):  Tomohito Tanaka     E-mail:  gyn123@osaka-med.ac.jp
About author:  These authors contributed equally.

Cite this article: 

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.

URL: 

https://ejgo.imrpress.com/EN/10.31083/j.ejgo.2021.01.2262     OR     https://ejgo.imrpress.com/EN/Y2021/V42/I1/90

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