title: Survival analysis of robotic versus traditional laparoscopic surgical staging for endometrial cancer.
abstract: OBJECTIVE
  The purpose of this study was to compare the survival of women with endometrial cancer managed by robotic- and laparoscopic-assisted surgery.
  
  
  METHODS
  This was a retrospective study conducted at 2 academic centers. Primary outcomes were overall survival, disease-free survival (DFS), and disease recurrence.
  
  
  RESULTS
  From 2003 through 2010, 415 women met the study criteria. A total of 183 women had robotic and 232 women had laparoscopic-assisted surgery. Both groups were comparable in age, body mass index, comorbid conditions, histology, surgical stage, tumor grade, total nodes retrieved, and adjuvant therapy. With a median follow-up of 38 months (range, 4-61 months) for the robotic and 58 months (range, 4-118 months) for the traditional laparoscopic group, there were no significant differences in survival (3-year survival 93.3% and 93.6%), DFS (3-year DFS 83.3% and 88.4%), and tumor recurrence (14.8% and 12.1%) for robotic and laparoscopic groups, respectively. Univariate and multivariate analysis showed that surgery is not an independent prognostic factor of survival.
  
  
  CONCLUSIONS
  Robotic-assisted surgery yields equivalent oncologic outcomes when compared to traditional laparoscopic surgery for endometrial adenocarcinoma.
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: jcardenas@zangcenter.com.
authors.forename: Joel
authors.initials: J
authors.lastname: Cardenas-Goicoechea
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Abramson Cancer Center, Pennsylvania Hospital/University of Pennsylvania Health System, Philadelphia, PA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Shepherd
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Mazdak
authors.initials: M
authors.lastname: Momeni
authors.affiliation: Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: John
authors.initials: J
authors.lastname: Mandeli
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Linus
authors.initials: L
authors.lastname: Chuang
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Herbert
authors.initials: H
authors.lastname: Gretz
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: David
authors.initials: D
authors.lastname: Fishman
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Jamal
authors.initials: J
authors.lastname: Rahaman
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Abramson Cancer Center, Pennsylvania Hospital/University of Pennsylvania Health System, Philadelphia, PA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Randall
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016889:Endometrial Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009367:Neoplasm Staging / Q000379:methods*; D012189:Retrospective Studies; D012371:Robotics; D016019:Survival Analysis
keywords: endometrial carcinoma; robotic surgery; traditional laparoscopy