Abstract
Introduction: Robotic surgery is increasingly used in the management of endometrial cancer; and although it is known that minimally invasive surgery reduces post-operative morbidity, the outcomes of this novel treatment should be monitored carefully. The aim of this study was to examine the incidence of complications according to the Clavien- Dindo scale after robotic-assisted laparoscopic hysterectomy (RALH) for early-stage endometrial cancer and atypical complex hyperplasia. The Clavien-Dindo scale grades theseverity of complications. Methods: This was a retrospective, descriptive cohort study of 235 women with endometrial cancer or atypical complex hyperplasia who had RALH. Surgeries were stratified into two groups: with or without pelvic lymphadenectomy. Results: A total of 6% developed a grade 3 or higher complication with no significant difference (p = 0.24) between the groups. The overall incidence of complications was 15%, also with no significant difference between groups (p = 0.32). The most frequent complications were urinary tract infections (6%) and port site/wound infections (3%). A total of 21% of the women who had lymphadenectomy developed lymphoedema within 12 months. Conclusion: The types and frequency of complications observed in this study resemble those reported in similar studies of RALH for malignant gynaecologic conditions. Health-care professionals treating and caring for women with early-stage endometrial cancer should know of the types and frequency of post-operative complications following RALH. Funding: not relevant. Trial registration: not relevant.
| Originalsprog | Engelsk |
|---|---|
| Artikelnummer | A5109 |
| Tidsskrift | Danish Medical Journal |
| Vol/bind | 62 |
| Udgave nummer | 8 |
| Sider (fra-til) | 1-7 |
| Antal sider | 7 |
| ISSN | 2245-1919 |
| Status | Udgivet - 1 aug. 2015 |
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