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- Title
Geleneksel laparotomi, laparoskopi ve robot yardımlı cerrahi ile endometrial kanser evrelemesinin perioperatif sonuçlarının karşılaştırılması: kısa süreli ilk deneyim.
- Authors
KARAGÜN, ŞEBNEM; KÜKRER, SADIK; YÜCEL, OĞUZ; BAŞER, ERALP
- Abstract
Aim: To compare the perioperative outcomes of traditional abdominal hysterectomy (TAH), total laparoscopic hysterectomy (TLH), and robotic-assisted hysterectomy (TRH) for endometrial cancer staging, which is the most common gynecological cancer type in Turkey Materials and Methods: All cases were performed by the same gynecologic oncologist (E.B.) from February 2015 to May 2016 in Adana Numune Education and Training Hospital. The study was conducted retrospectively. The primary outcome measure was perioperative complications. The secondary outcome measures were operative time, postoperative hemoglobin drop, blood transfusion rates and length of the hospital stay Results: 23 cases were laparotomy (TAH), 10 cases were laparoscopy (TLH), and 25 cases were robotic-assisted (TRH) There were no statistically significant differences between the groups in terms of age, parity, grade and depth of myometrial invasion. The overall complication rate was higher in the TAH group. TRH and TLH patients were less likely to have renal failure, urinary tract infection and postoperative fever compared to TAH patients. The decrease in hemoglobin in the TRH group was less than in the other groups, but it was not statistically significant (p= 0.797). Mean operative time was longer in TRH cases than in TLH and TAH cases (300, 230, and 165 minutes, respectively). The median lengths of hospitalization for TAH, TLH, and TRH patients were 5,3, and 2 days, respectively (p< 0.0001) There were significantly fewer blood transfusion requirements in minimally invasive surgery groups (0/10 case in TLH and 3/25 cases in TRH) than in traditional approaches (5/23 cases in TAH) Conclusions: With our short term initial experience, minimally invasive surgical approach resulted in superior perioperative outcomes. Despite longer operative times, the results from this study suggest that robotic-assisted surgical staging in the management of endometrial cancer is both feasible and associated with a shorter length of hospitalization.
- Publication
Jinekoloji-Obstetrik & Neonatoloji Tip Dergisi, 2023, Vol 20, Issue 3, p1826
- ISSN
1304-5512
- Publication type
Article
- DOI
10.38136/jgon.1215235