title: Laparoscopic vs robotic-assisted surgery for endometrial carcinoma in a centre with long laparoscopic experience.
abstract: Surgical outcomes and costs of laparoscopic and robotic hysterectomy for the treatment of endometrial carcinoma were compared in a centre with lengthy experience with laparoscopic surgery. The robotic cohort (n = 67) had a longer operative time than the laparoscopic cohort (n = 150) (p < 0.0001). Lymph node yields were similar for both surgical modalities, but the median of estimated blood loss was lower in the robotic group (50 ml vs 100 ml; p < 0.0001). The proportion of patients with hospital stay > 2 days and rate of overall complications were similar in both groups. Operative costs were (Euros) €1,680 and €3,860 for the laparoscopic and robotic procedure, respectively. We conclude that robotic technology is feasible but does not provide short-term benefits for the treatment of endometrial carcinoma in a centre where laparoscopy has been established as the standardised minimally invasive surgical method.
authors.affiliation: Department of Obstetrics and Gynaecology, Helsinki University Central Hospital , Helsinki , Finland.
authors.forename: H
authors.initials: H
authors.lastname: Turunen
authors.forename: P
authors.initials: P
authors.lastname: Pakarinen
authors.forename: J
authors.initials: J
authors.lastname: Sjöberg
authors.forename: M
authors.initials: M
authors.lastname: Loukovaara
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000601:surgery*; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data*; D008875:Middle Aged; D012189:Retrospective Studies; D012371:Robotics / Q000706:statistics & numerical data*; D016896:Treatment Outcome