title: Comparison of robotic approach, laparoscopic approach and laparotomy in treating epithelial ovarian cancer.
abstract: BACKGROUND
  The purpose of this study was to evaluate the feasibility of robotic surgery and compare its surgical outcomes with those of laparoscopic surgery and laparotomy, with regard to performing staging surgery to manage ovarian cancer.
  
  
  METHODS
  One hundred and thirty-eight women who received surgical staging procedures for treatment of stage IA-IIIC epithelial ovarian cancer and borderline tumours were retrospectively included in the study. All enrolled cases were reviewed for patient demographics, peri-operative parameters, complications and survival.
  
  
  RESULTS
  The operation time and blood loss was significantly reduced in the robotic and laparoscopic groups. Moreover, robotic surgery was associated with decreased postoperative pain score. The length of hospital stay and time to full diet resumption were also shortened for those who underwent robotic and laparoscopic procedures. Survival analysis and complication rates were similar between the two groups.
  
  
  CONCLUSIONS
  Robotic surgery is a feasible alternative in managing ovarian cancer as long as there is careful consideration given to patient selection. Copyright © 2015 John Wiley & Sons, Ltd.
authors: Department of Obstetrics and Gynaecology, Taipei Medical University Hospital, Taipei, Taiwan.|Department of Obstetrics and Gynaecology, College of Medicine, Taipei Medical University, Taipei, Taiwan.
authors: Ching-Hui
authors: CH
authors: Chen
authors: Department of Obstetrics and Gynaecology, Taipei Medical University Hospital, Taipei, Taiwan.
authors: Li-Hsuan
authors: LH
authors: Chiu
authors: Department of Obstetrics and Gynaecology, Taipei Medical University Hospital, Taipei, Taiwan.
authors: Huang-Hui
authors: HH
authors: Chen
authors: Department of Obstetrics and Gynaecology, Taipei Medical University Hospital, Taipei, Taiwan.
authors: Cindy
authors: C
authors: Chan
authors: Department of Obstetrics and Gynaecology, Taipei Medical University Hospital, Taipei, Taiwan.|Department of Obstetrics and Gynaecology, College of Medicine, Taipei Medical University, Taipei, Taiwan.
authors: Wei-Min
authors: WM
authors: Liu
mesh_terms: D000328:Adult; D000077216:Carcinoma, Ovarian Epithelial; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D008875:Middle Aged; D009367:Neoplasm Staging; D009375:Neoplasms, Glandular and Epithelial / Q000175:diagnosis / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery*; D011184:Postoperative Period; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome
keywords: ovarian cancer; robotic surgery; surgical staging