Robotic surgical staging for obese patients with endometrial cancer

Karen Y. Tang; Stuart K. Gardiner; Claire Gould; Blake Osmundsen; Michael Collins; William E. Winter

doi:10.1016/j.ajog.2012.01.002

Robotic surgical staging for obese patients with endometrial cancer

Karen Y. Tang, Stuart K. Gardiner, Claire Gould, Blake Osmundsen, Michael Collins, William E. Winter

Obstetrics & Gynecology

Research output: Contribution to journal › Article

36 Scopus citations

Abstract

OBJECTIVE: To compare surgical outcomes for robotic vs laparotomy staging in obese endometrial cancer patients. STUDY DESIGN: This was a retrospective cohort study of patients with body mass index ≥30 kg/m ² staged in a community gynecologic oncology practice. Patients undergoing robotic staging were compared with historic laparotomy controls. RESULTS: One hundred twenty-nine patients underwent robotic staging, compared with 110 laparotomy patients. The robotic cohort had fewer abdominal wound complications (13.9% vs 32.7%, P <.001), but more vaginal cuff complications (4.7% vs 0%, P =.032). Blood loss was lower in the robotic group (P <.001), as was length of stay (P <.001). Surgical times were longer in the robotic group (P <.001). There was no difference in terms of percentage of patients undergoing pelvic or paraaortic lymph node dissection. CONCLUSION: Robotic staging for endometrial cancer is feasible in obese women, with fewer abdominal wound complications, but more vaginal cuff complications.

Original language	English (US)
Pages (from-to)	513.e1-513.e6
Journal	American journal of obstetrics and gynecology
Volume	206
Issue number	6
DOIs	https://doi.org/10.1016/j.ajog.2012.01.002
State	Published - Jun 2012

Keywords

endometrial cancer
obesity
robotic surgery

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajog.2012.01.002

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Tang, K. Y., Gardiner, S. K., Gould, C., Osmundsen, B., Collins, M., & Winter, W. E. (2012). Robotic surgical staging for obese patients with endometrial cancer. American journal of obstetrics and gynecology, 206(6), 513.e1-513.e6. https://doi.org/10.1016/j.ajog.2012.01.002

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title = "Robotic surgical staging for obese patients with endometrial cancer",

abstract = "OBJECTIVE: To compare surgical outcomes for robotic vs laparotomy staging in obese endometrial cancer patients. STUDY DESIGN: This was a retrospective cohort study of patients with body mass index ≥30 kg/m 2 staged in a community gynecologic oncology practice. Patients undergoing robotic staging were compared with historic laparotomy controls. RESULTS: One hundred twenty-nine patients underwent robotic staging, compared with 110 laparotomy patients. The robotic cohort had fewer abdominal wound complications (13.9% vs 32.7%, P <.001), but more vaginal cuff complications (4.7% vs 0%, P =.032). Blood loss was lower in the robotic group (P <.001), as was length of stay (P <.001). Surgical times were longer in the robotic group (P <.001). There was no difference in terms of percentage of patients undergoing pelvic or paraaortic lymph node dissection. CONCLUSION: Robotic staging for endometrial cancer is feasible in obese women, with fewer abdominal wound complications, but more vaginal cuff complications.",

keywords = "endometrial cancer, obesity, robotic surgery",

author = "Tang, {Karen Y.} and Gardiner, {Stuart K.} and Claire Gould and Blake Osmundsen and Michael Collins and Winter, {William E.}",

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AU - Tang, Karen Y.

AU - Gardiner, Stuart K.

AU - Gould, Claire

AU - Osmundsen, Blake

AU - Collins, Michael

AU - Winter, William E.

PY - 2012/6

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N2 - OBJECTIVE: To compare surgical outcomes for robotic vs laparotomy staging in obese endometrial cancer patients. STUDY DESIGN: This was a retrospective cohort study of patients with body mass index ≥30 kg/m 2 staged in a community gynecologic oncology practice. Patients undergoing robotic staging were compared with historic laparotomy controls. RESULTS: One hundred twenty-nine patients underwent robotic staging, compared with 110 laparotomy patients. The robotic cohort had fewer abdominal wound complications (13.9% vs 32.7%, P <.001), but more vaginal cuff complications (4.7% vs 0%, P =.032). Blood loss was lower in the robotic group (P <.001), as was length of stay (P <.001). Surgical times were longer in the robotic group (P <.001). There was no difference in terms of percentage of patients undergoing pelvic or paraaortic lymph node dissection. CONCLUSION: Robotic staging for endometrial cancer is feasible in obese women, with fewer abdominal wound complications, but more vaginal cuff complications.

AB - OBJECTIVE: To compare surgical outcomes for robotic vs laparotomy staging in obese endometrial cancer patients. STUDY DESIGN: This was a retrospective cohort study of patients with body mass index ≥30 kg/m 2 staged in a community gynecologic oncology practice. Patients undergoing robotic staging were compared with historic laparotomy controls. RESULTS: One hundred twenty-nine patients underwent robotic staging, compared with 110 laparotomy patients. The robotic cohort had fewer abdominal wound complications (13.9% vs 32.7%, P <.001), but more vaginal cuff complications (4.7% vs 0%, P =.032). Blood loss was lower in the robotic group (P <.001), as was length of stay (P <.001). Surgical times were longer in the robotic group (P <.001). There was no difference in terms of percentage of patients undergoing pelvic or paraaortic lymph node dissection. CONCLUSION: Robotic staging for endometrial cancer is feasible in obese women, with fewer abdominal wound complications, but more vaginal cuff complications.

KW - endometrial cancer

KW - obesity

KW - robotic surgery

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