title: Robotic approach using simple and radical hysterectomy for endometrial cancer with long-term follow-up evaluation.
abstract: BACKGROUND
  Feasibility and outcome of robotic-assisted laparoscopy (RAL) for endometrial cancer was evaluated with a mean follow-up of 4 years.
  
  
  METHODS
  Robotic hysterectomy (RH) and type B robotic radical hysterectomy (RRH), with or without pelvic lymphadenectomy (PLH), was performed on 51 consecutive patients. Records were reviewed for demographic data, medical/surgical history and comorbidities, perioperative findings and outcomes, as well as long-term complications and recurrences. Regarding stage, according to 2009 FIGO, 25% of cases were IA, while 20%, 53% and 2% of cases were, respectively, IB, II and IIIA stage.
  
  
  RESULTS
  Twenty-eight patients underwent RRH + PLH (54.9%), four patients underwent RH with concurrent nodal sampling (NS) (7.8%); a total of 32 PLH were performed (62.6%).The median operative time for RRH + PLH was 255 min (range: 160-435). Pathology confirmed the adequacy of the surgical specimen.
  
  
  CONCLUSIONS
  Our data support the adoption of RAL staging in patients with endometrial cancer, including those with cervical involvement, and demonstrate good long-term outcomes.
authors: Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Lecco, Italy.|Department of Obstetrics and Gynecology, Azienda Ospedaliera di Lodi, Lodi, Italy.
authors: Gianluca Raffaello
authors: GR
authors: Damiani
authors: Maternal infantil department, Alessandro Manzoni Hospital, Lecco, Italy.
authors: Daniela
authors: D
authors: Turoli
authors: Department of Obstetrics and Gynecology, University of Bari, Bari, Italy.
authors: Gennaro
authors: G
authors: Cormio
authors: Department of Obstetrics and Gynecology, Azienda Ospedaliera di Lodi, Lodi, Italy.
authors: Paolo
authors: P
authors: Croce
authors: Department of Obstetrics and Gynecology, University of Bari, Bari, Italy.
authors: Viviana
authors: V
authors: Merola
authors: Department of Obstetrics and Gynecology, University of Bari, Bari, Italy.
authors: Maria
authors: M
authors: Gaetani
authors: Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Lecco, Italy.
authors: Dario
authors: D
authors: Recalcati
authors: Department of Obstetrics and Gynecology, Alessandro Manzoni Hospital, Lecco, Italy.
authors: Antonio
authors: A
authors: Pellegrino
mesh_terms: D000368:Aged; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008875:Middle Aged; D065287:Robotic Surgical Procedures / Q000379:methods*
keywords: endometrial cancer; radicalhysterectomy; robotic hysterectomy