The clinical experience of robot-assisted surgery in gynecologic cancer.
The comparison of robotic and conventional laparoscopic hysterectomy and pelvic lymphadenectomy in gynecologic cancer still needs to be studied. In all, 98 consecutive cases of patients with gynecologic cancer undergoing robot-assisted hysterectomy and pelvic lymphadenectomy, and another 98 consecutive cases of conventional laparoscopic hysterectomy and pelvic lymphadenectomy during the same period in the Obstetrics and Gynecology Hospital of Fudan University were included. The duration of the operation, blood loss, drainage during the first 24 h after the operation, total hospital stay, hospital stay after the operation, lymph nodes collected, perioperative complications, and the cost of each operation for both procedures were recorded. The duration of the operation was longer, and the cost of each operation was almost seven times higher in the robot group than that in the conventional laparoscopy group. But the differences with regard to blood loss, drainage during the first 24 h after the operation, total hospital stay, hospital stay after operation, the lymph nodes collected, and the rate of perioperative complications were not statistically significant. Robot-assisted surgery (RAS) in gynecologic cancer is as feasible as conventional laparoscopic surgery. We recommend further studies about the cost and effect of RAS in gynecologic cancer.
a Department of Gynecology , OB/GYN Hospital, Fudan University , Shanghai , China.|b Shanghai Key Laboratory of Female Reproductive Endocrine-Related Diseases , Shanghai , China.
Xue-Lian
XL
Li
a Department of Gynecology , OB/GYN Hospital, Fudan University , Shanghai , China.|b Shanghai Key Laboratory of Female Reproductive Endocrine-Related Diseases , Shanghai , China.
Dan-Feng
DF
Du
a Department of Gynecology , OB/GYN Hospital, Fudan University , Shanghai , China.|b Shanghai Key Laboratory of Female Reproductive Endocrine-Related Diseases , Shanghai , China.
Hua
H
Jiang
D016063:Blood Loss, Surgical; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008197:Lymph Node Excision / Q000379:methods; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology; D065287:Robotic Surgical Procedures / Q000379:methods*
Robot-assisted surgery; conventional laparoscopic surgery; gynecologic cancer; hysterectomy and pelvic lymphadenectomy