A comparison of robot assisted and abdominal radical hysterectomy (RH) for early stage cervical and endometrial cancer.
- Author:
Young Lan LEE
1
;
Kylie Hae-jin CHANG
;
Hye Ran LEE
;
Dam Hye KWON
;
Kyung Ran YOON
;
Young Han PARK
;
Hong Bae KIM
;
Sung Ho PARK
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Hallym University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Cervical cancer;
Endometrial cancer;
Abdominal radical hysterectomy;
Robot-assisted radical hysterectomy
- MeSH:
Body Mass Index;
Endometrial Neoplasms;
Female;
Humans;
Hysterectomy;
Length of Stay;
Lymph Nodes;
Medical Records;
Operative Time;
Parity;
Uterine Cervical Neoplasms
- From:Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery
2011;23(2):78-83
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To compare perioperative outcome of robot-assisted radical hysterectomy with abdominal radical hysterectomy for early-stage cervical cancer and endometrial cancer and to evaluate the feasibility of robotic-assisted radical hysterectomy. METHODS: We reviewed medical record of 37 patients who had radical hysterectomy at Hallym university for cervical cancer stage Ia1 to IIa and endometrial cancer stage Ia to Ib. Abdominal radical hysterectomy was carried out in 27 (Abdominal group) patients and robot-assisted radical hysterectomy carried out in 10 patients (Robotic group). We compared patient's characteristics between two groups. Perioperative characteristics compared included cancer stage, operative time, number of nodes, estimated blood loss, length of hospital stay and complications. RESULTS: There were no differences in age, parity, history of medical disease, body mass index between two groups (p>0.05). Robotic operative times were significantly longer than for abdominal (480.0+/-117.8 vs. 286.9+/-65.6 min, p<0.0001). Blood loss (660.0+/-245.9 vs. 1,137.0+/-608.4 mL. p<0.0001) and length of hospital stay (7.2 versus 17.1 days, p<0.0001) were significantly lower for the robotic group. Lymph node yield in the robotic group was equivalent to that for the abdominal group (30.1+/-8.7 vs. 35.4+/-16.9, p=0.356). No major operative complications occurred with both groups. CONCLUSION: Robot-assisted radical hysterectomy appears safe and feasible in early-stage cervical and endometrial cancer.
