Robotic surgical staging for obese patients with endometrial cancer

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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)513.e1-513.e6
JournalAmerican journal of obstetrics and gynecology
Volume206
Issue number6
DOIs
StatePublished - Jun 2012

Keywords

  • endometrial cancer
  • obesity
  • robotic surgery

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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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