Robot-assisted surgery for women with endometrial cancer: Surgical and oncologic outcomes within a Belgium gynaecological oncology group cohort.

peer reviewed ; [en] 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 rat... Mehr ...

Verfasser: Kakkos, Athanasios
Ver Eecke, C
ONGARO, Sarah
Traen, K
Peeters, F
Van Trappen, Ph
Laenen, A
Despierre, E
Van Nieuwenhuysen, E
Vergote, I
Goffin, Frédéric
Dokumenttyp: journal article
Erscheinungsdatum: 2021
Verlag/Hrsg.: W.B. Saunders Ltd
Schlagwörter: BGOG / Elderly / Endometrial cancer / Minimally-invasive surgery / Obese / Robot-assisted surgery / Adult / Aged / 80 and over / Belgium / Conversion to Open Surgery / Endometrial Neoplasms/mortality / Endometrial Neoplasms/pathology / Endometrial Neoplasms/surgery / Female / Humans / Hysterectomy/methods / Length of Stay/statistics & numerical data / Middle Aged / Neoplasm Staging / Obesity/complications / Retrospective Studies / Robotic Surgical Procedures/methods / Survival Rate / Endometrial Neoplasms / Hysterectomy / Length of Stay / Obesity / Robotic Surgical Procedures / Surgery / Oncology / General Medicine / Human health sciences / Reproductive medicine (gynecology / andrology / obstetrics) / Sciences de la santé humaine / Médecine de la reproduction (Gynécologie / andrologie / obstétrique)
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26593359
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://orbi.uliege.be/handle/2268/313025

peer reviewed ; [en] 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.