Perioperative outcomes of total laparoendoscopic single-site hysterectomy versus total robotic hysterectomy in endometrial cancer patients: A multicentre study

Anna Fagotti, Maria Lucia Gagliardi, Francesco Fanfani, Maria Giovanna Salerno, Alfredo Ercoli, Marco D'Asta, Lucia Tortorella, Luigi Carlo Turco, Pedro Escobar, Giovanni Scambia

Research output: Contribution to journalArticle

Abstract

Objective: To compare the peri-operative outcomes between total laparo-endoscopic single-site (LESS) and robotic approaches for the staging and treatment of early stage endometrial cancer patients. Methods: A multicentre retrospective study involving three Italian gynaecological groups and one American centre. The peri-operative outcomes of LESS and robotic approach were compared in similar groups of patients, with regard to surgical outcomes and intra- and post-operative parameters and complications. Results: During the study period, 75 patients submitted to a total LESS hysterectomy and 75 patients received a total robotic hysterectomy. The median operative time - 122 versus 175 min (p = 0.0001) - and the estimated blood loss - 50 versus 80 mL (p = 0.03) - were slightly more favourable in the LESS group. The intra-operative complications were equally distributed (p = 0.99); in the robotic group there were 4 (5.3%) post-operative grade IIIb complications versus 1 (1.3%) in the LESS group (p = 0.172). Conclusions: The LESS and robotic approaches both appear reasonable and each may have benefits and limitations depending upon the patient population. Further studies are needed to validate these preliminary conclusions.

Original languageEnglish
Pages (from-to)552-555
Number of pages4
JournalGynecologic Oncology
Volume125
Issue number3
DOIs
Publication statusPublished - Jun 2012

Keywords

  • Endometrial cancer
  • Laparo-endoscopic single-site hysterectomy
  • Robotic hysterectomy
  • Single port surgery

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

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    Fagotti, A., Gagliardi, M. L., Fanfani, F., Salerno, M. G., Ercoli, A., D'Asta, M., Tortorella, L., Turco, L. C., Escobar, P., & Scambia, G. (2012). Perioperative outcomes of total laparoendoscopic single-site hysterectomy versus total robotic hysterectomy in endometrial cancer patients: A multicentre study. Gynecologic Oncology, 125(3), 552-555. https://doi.org/10.1016/j.ygyno.2012.02.035