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

G. Corrado, L. Mereu, S. Bogliolo, V. Cela, B. Gardella, I. Sperduti, C. Certelli, A. Pellegrini, G. Posar, A. Zampa, S. Tateo, A. Gadducci, A. Spinillo, E. Vizza

Research output: Contribution to journalArticlepeer-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. © 2019 John Wiley & Sons, Ltd
Original languageEnglish
JournalInt. J. Med. Rob. Comput. Assisted Surg.
Volume16
Issue number2
DOIs
Publication statusPublished - 2020

Keywords

  • endometrial cancer
  • obesity
  • robotic multiport hysterectomy
  • robotic single-site hysterectomy
  • adult
  • aged
  • Article
  • body mass
  • cancer staging
  • case control study
  • controlled study
  • disease association
  • endometrium cancer
  • female
  • hospitalization
  • human
  • hysterectomy
  • intermethod comparison
  • length of stay
  • major clinical study
  • multiport robot assisted hysterectomy
  • operation duration
  • operative blood loss
  • retrospective study
  • robot assisted surgery
  • single site robot assisted hysterectomy
  • treatment outcome
  • clinical trial
  • comparative study
  • complication
  • devices
  • endometrium tumor
  • epidemiology
  • Italy
  • laparoscopy
  • male
  • methodology
  • middle aged
  • multicenter study
  • procedures
  • very elderly
  • Adult
  • Aged
  • Aged, 80 and over
  • Body Mass Index
  • Case-Control Studies
  • Endometrial Neoplasms
  • Female
  • Humans
  • Hysterectomy
  • Laparoscopy
  • Length of Stay
  • Male
  • Middle Aged
  • Obesity
  • Operative Time
  • Research Design
  • Retrospective Studies
  • Robotic Surgical Procedures

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