Comparison between single-site and multiport robot-assisted hysterectomy in obese patients with endometrial cancer: An Italian multi-institutional study

Giacomo Corrado; Liliana Mereu; Stefano Bogliolo; Vito Cela; Barbara Gardella; Isabella Sperduti; Camilla Certelli; Alice Pellegrini; Giulia Posar; Ashanti Zampa; Saverio Tateo; Angiolo Gadducci; Arsenio Spinillo; Enrico Vizza

doi:10.1002/rcs.2066

Comparison between single-site and multiport robot-assisted hysterectomy in obese patients with endometrial cancer: An Italian multi-institutional study

Giacomo Corrado, Liliana Mereu, Stefano Bogliolo, Vito Cela, Barbara Gardella, Isabella Sperduti, Camilla Certelli, Alice Pellegrini, Giulia Posar, Ashanti Zampa, Saverio Tateo, Angiolo Gadducci, Arsenio Spinillo, Enrico Vizza

Research output: Contribution to journal › Article › peer-review

Abstract

Background: The aim of this study is to compare robotic single-site hysterectomy (RSSH) and robotic multiport hysterectomy (RMPH) for endometrial cancer (EC) in obese patients in terms of surgical outcomes. Methods: This retrospective study compares RSSH with RMPH in obese patients with EC and FIGO stages I to II divided in three classes according to their body mass index (BMI): class A (30-34.9 kg/m²), class B (35-39.9 kg/m²), and class C (>40 kg/m²). Results: We included 225 patients (RSSH: 76; RMPH: 149). The operative time and estimated blood loss (EBL) were lower in the A class of the RSSH group. The EBL and the conversion rate increased when the BMI increased in the RSSH group. The hospital stay was higher in the A class of the RMPH group. Conclusions: The advantages of RSSH in terms of reduced invasiveness remain true only in the first BMI class, whereas they are lost when the BMI increased.

Original language	English
Article number	e2066
Journal	International Journal of Medical Robotics and Computer Assisted Surgery
DOIs	https://doi.org/10.1002/rcs.2066
Publication status	Accepted/In press - Jan 1 2019

Keywords

endometrial cancer
obesity
robotic multiport hysterectomy
robotic single-site hysterectomy

ASJC Scopus subject areas

Surgery
Biophysics
Computer Science Applications

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10.1002/rcs.2066

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Corrado, G., Mereu, L., Bogliolo, S., Cela, V., Gardella, B., Sperduti, I., Certelli, C., Pellegrini, A., Posar, G., Zampa, A., Tateo, S., Gadducci, A., Spinillo, A., & Vizza, E. (Accepted/In press). Comparison between single-site and multiport robot-assisted hysterectomy in obese patients with endometrial cancer: An Italian multi-institutional study. International Journal of Medical Robotics and Computer Assisted Surgery, [e2066]. https://doi.org/10.1002/rcs.2066

Comparison between single-site and multiport robot-assisted hysterectomy in obese patients with endometrial cancer : An Italian multi-institutional study. / Corrado, Giacomo; Mereu, Liliana; Bogliolo, Stefano; Cela, Vito; Gardella, Barbara; Sperduti, Isabella; Certelli, Camilla; Pellegrini, Alice; Posar, Giulia; Zampa, Ashanti; Tateo, Saverio; Gadducci, Angiolo; Spinillo, Arsenio; Vizza, Enrico.

In: International Journal of Medical Robotics and Computer Assisted Surgery, 01.01.2019.

Research output: Contribution to journal › Article › peer-review

Corrado, G, Mereu, L, Bogliolo, S, Cela, V, Gardella, B, Sperduti, I, Certelli, C, Pellegrini, A, Posar, G, Zampa, A, Tateo, S, Gadducci, A, Spinillo, A & Vizza, E 2019, 'Comparison between single-site and multiport robot-assisted hysterectomy in obese patients with endometrial cancer: An Italian multi-institutional study', International Journal of Medical Robotics and Computer Assisted Surgery. https://doi.org/10.1002/rcs.2066

Corrado, Giacomo ; Mereu, Liliana ; Bogliolo, Stefano ; Cela, Vito ; Gardella, Barbara ; Sperduti, Isabella ; Certelli, Camilla ; Pellegrini, Alice ; Posar, Giulia ; Zampa, Ashanti ; Tateo, Saverio ; Gadducci, Angiolo ; Spinillo, Arsenio ; Vizza, Enrico. / Comparison between single-site and multiport robot-assisted hysterectomy in obese patients with endometrial cancer : An Italian multi-institutional study. In: International Journal of Medical Robotics and Computer Assisted Surgery. 2019.

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title = "Comparison between single-site and multiport robot-assisted hysterectomy in obese patients with endometrial cancer: An Italian multi-institutional study",

abstract = "Background: The aim of this study is to compare robotic single-site hysterectomy (RSSH) and robotic multiport hysterectomy (RMPH) for endometrial cancer (EC) in obese patients in terms of surgical outcomes. Methods: This retrospective study compares RSSH with RMPH in obese patients with EC and FIGO stages I to II divided in three classes according to their body mass index (BMI): class A (30-34.9 kg/m2), class B (35-39.9 kg/m2), and class C (>40 kg/m2). Results: We included 225 patients (RSSH: 76; RMPH: 149). The operative time and estimated blood loss (EBL) were lower in the A class of the RSSH group. The EBL and the conversion rate increased when the BMI increased in the RSSH group. The hospital stay was higher in the A class of the RMPH group. Conclusions: The advantages of RSSH in terms of reduced invasiveness remain true only in the first BMI class, whereas they are lost when the BMI increased.",

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author = "Giacomo Corrado and Liliana Mereu and Stefano Bogliolo and Vito Cela and Barbara Gardella and Isabella Sperduti and Camilla Certelli and Alice Pellegrini and Giulia Posar and Ashanti Zampa and Saverio Tateo and Angiolo Gadducci and Arsenio Spinillo and Enrico Vizza",

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T2 - An Italian multi-institutional study

AU - Corrado, Giacomo

AU - Mereu, Liliana

AU - Bogliolo, Stefano

AU - Cela, Vito

AU - Gardella, Barbara

AU - Sperduti, Isabella

AU - Certelli, Camilla

AU - Pellegrini, Alice

AU - Posar, Giulia

AU - Zampa, Ashanti

AU - Tateo, Saverio

AU - Gadducci, Angiolo

AU - Spinillo, Arsenio

AU - Vizza, Enrico

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: The aim of this study is to compare robotic single-site hysterectomy (RSSH) and robotic multiport hysterectomy (RMPH) for endometrial cancer (EC) in obese patients in terms of surgical outcomes. Methods: This retrospective study compares RSSH with RMPH in obese patients with EC and FIGO stages I to II divided in three classes according to their body mass index (BMI): class A (30-34.9 kg/m2), class B (35-39.9 kg/m2), and class C (>40 kg/m2). Results: We included 225 patients (RSSH: 76; RMPH: 149). The operative time and estimated blood loss (EBL) were lower in the A class of the RSSH group. The EBL and the conversion rate increased when the BMI increased in the RSSH group. The hospital stay was higher in the A class of the RMPH group. Conclusions: The advantages of RSSH in terms of reduced invasiveness remain true only in the first BMI class, whereas they are lost when the BMI increased.

AB - Background: The aim of this study is to compare robotic single-site hysterectomy (RSSH) and robotic multiport hysterectomy (RMPH) for endometrial cancer (EC) in obese patients in terms of surgical outcomes. Methods: This retrospective study compares RSSH with RMPH in obese patients with EC and FIGO stages I to II divided in three classes according to their body mass index (BMI): class A (30-34.9 kg/m2), class B (35-39.9 kg/m2), and class C (>40 kg/m2). Results: We included 225 patients (RSSH: 76; RMPH: 149). The operative time and estimated blood loss (EBL) were lower in the A class of the RSSH group. The EBL and the conversion rate increased when the BMI increased in the RSSH group. The hospital stay was higher in the A class of the RMPH group. Conclusions: The advantages of RSSH in terms of reduced invasiveness remain true only in the first BMI class, whereas they are lost when the BMI increased.

KW - endometrial cancer

KW - obesity

KW - robotic multiport hysterectomy

KW - robotic single-site hysterectomy

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Comparison between single-site and multiport robot-assisted hysterectomy in obese patients with endometrial cancer: An Italian multi-institutional study

Abstract

Keywords

ASJC Scopus subject areas

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