Endometrial carcinoma: The perioperative and long-term outcomes of robotic surgery in the morbidly obese. J Surg Oncol 2016 Dec;114(7):884-887
Date
10/30/2016Pubmed ID
27566529DOI
10.1002/jso.24417Scopus ID
2-s2.0-84983680299 (requires institutional sign-in at Scopus site) 14 CitationsAbstract
BACKGROUND AND METHODS: To evaluate surgical and pathologic outcomes of robotic assisted versus open hysterectomy for women with at least class II (BMI >35) and class III (BMI >40) obesity with endometrial cancer. Women with endometrial cancer and class II obesity, treated with open or robotic hysterectomy between 3/2005 and 3/2013 were eligible for inclusion in this retrospective cohort. Patients with class III obesity were reviewed both within the cohort of class II and as a separate subset. Data were collected on demographics, operative statistics, pathology, post-operative complications, and oncologic outcomes. Tests of significance used Chi-square, Fisher's exact test, t-test, and Wilcoxon rank-sum.
RESULTS: One hundred and thirty-six women with BMI >35 who underwent hysterectomy (56 robotic and 80 abdominal) were included. Patients undergoing robotic hysterectomies had fewer post-operative complications, shorter hospital stays, and lower blood loss compared to the abdominal group. A subset (83 of 136) with class III obesity had similar findings. Operative times, lymph node dissection rates, and lymph node yield (both pelvic and para-aortic) were similar between open and robotic surgery in both obesity classes. Oncologic outcomes and use of adjuvant treatment was not compromised.
CONCLUSIONS: Robotic hysterectomy is a safe and effective option for morbidly obese women with endometrial cancer. J. Surg. Oncol. 2016;114:884-887. © 2016 2016 Wiley Periodicals, Inc.
Author List
Hinshaw SJ, Gunderson S, Eastwood D, Bradley WHAuthors
William H. Bradley MD Professor in the Obstetrics and Gynecology department at Medical College of WisconsinStephanie Gunderson MD Assistant Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultAged
Endometrial Neoplasms
Feasibility Studies
Female
Follow-Up Studies
Humans
Hysterectomy
Middle Aged
Obesity, Morbid
Retrospective Studies
Robotic Surgical Procedures
Treatment Outcome