Int J Med Robot - Robotic surgery for staging of serous papillary and clear cell carcinoma of the endometrium.

Tópicos

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Resumo

CKGROUND: The feasibility of robotic staging for high-risk endometrial cancer is unclear.METHODS: Retrospective review of papillary serous and clear cell endometrial cancer open staging (OS) and robotic staging (RS) cases (2009-2011) by two gynaecological oncologists.RESULTS: There were 15 OS and 17 RS cases (no conversions). Age, uterine weight and body mass index were comparable, with more stage I RS cases. Operative time (172.5 vs 124.2min, p = 0.0005), blood loss (71.9 vs 310.0 ml, p= 0.0002), hospital stay (5.4 vs 1.2 days, p = 0.0016) and lymphadenectomy yield (16.8 vs 10.2 nodes, p=0.0041) were decreased for RS. Optimal cytoreduction rates (100% vs 93%, p=0.2794), follow-up (19.9 vs 27.1months, p = 0.2283) and recurrences (three vs five, p = 0.5395) were equivalent. Disease-free survival (54.5% vs 66.7%, p = 0.5302) and overall survival rates (81.8% vs 80.0%, p = 0.9075) were equivalent.CONCLUSIONS: Robotic staging is feasible with minimal blood loss, a short operative time and recovery and good optimal cytoreduction rates.

Resumo Limpo

ckground feasibl robot stage highrisk endometri cancer unclearmethod retrospect review papillari serous clear cell endometri cancer open stage os robot stage rs case two gynaecolog oncologistsresult os rs case convers age uterin weight bodi mass index compar stage rs case oper time vs min p blood loss vs ml p hospit stay vs day p lymphadenectomi yield vs node p decreas rs optim cytoreduct rate vs p followup vs month p recurr three vs five p equival diseasefre surviv vs p overal surviv rate vs p equivalentconclus robot stage feasibl minim blood loss short oper time recoveri good optim cytoreduct rate

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