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Robot-assisted surgery for women with endometrial cancer: Surgical and oncologic outcomes within a Belgium gynaecological oncology group cohort
- Source :
- European Journal of Surgical Oncology. 47:1117-1123
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Objective To evaluate surgical and oncologic outcomes of patients treated by robot-assisted surgery for endometrial cancer within the Belgium Gynaecological Oncology Group (BGOG). Study design We performed a retrospective analysis of women with clinically Stage I endometrial cancer who underwent surgical treatment from 2007 to 2018 in five institutions of the BGOG group. Results A total of 598 consecutive women were identified. The rate of conversion to laparotomy was low (0.8%). The mean postoperative Complication Common Comprehensive Index (CCI) score was 3.4. The rate of perioperative complications did not differ between age groups, however the disease-free survival was significantly lower in patients over 75 years compared to patients under 65 years of age (p=0.008). Per-operative complications, conversion to laparotomy rate, post-operative hospital stay, CCI score and disease-free survival were not impacted by increasing BMI. Conclusion Robot-assisted surgery for the surgical treatment of patients suffering from early-stage endometrial cancer is associated with favourable surgical and oncologic outcomes, particularly for unfavourable groups such as elderly and obese women, thus permitting a low morbidity minimally-invasive surgical approach for the majority of patients in expert centres.
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Hysterectomy
03 medical and health sciences
0302 clinical medicine
Belgium
Robotic Surgical Procedures
Age groups
Laparotomy
medicine
Humans
Obesity
Aged
Neoplasm Staging
Retrospective Studies
Aged, 80 and over
030219 obstetrics & reproductive medicine
business.industry
Endometrial cancer
Gynaecological oncology
Postoperative complication
General Medicine
Perioperative
Length of Stay
Middle Aged
medicine.disease
Conversion to Open Surgery
Endometrial Neoplasms
Surgery
Survival Rate
Oncology
030220 oncology & carcinogenesis
Cohort
Female
business
Stage I endometrial cancer
Subjects
Details
- ISSN :
- 07487983
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- European Journal of Surgical Oncology
- Accession number :
- edsair.doi.dedup.....493f6ba00563906888f5c7423fb9ffb4