Robotic-assisted laparoscopic hysterectomy seems safe in women with early-stage endometrial cancer

TY - JOUR

T1 - Robotic-assisted laparoscopic hysterectomy seems safe in women with early-stage endometrial cancer

AU - Herling, Suzanne Forsyth

AU - Havemann, Maria Cecilie

AU - Palle, Connie

AU - Møller, Ann Merete

AU - Thomsen, Thordis

PY - 2015/8/1

Y1 - 2015/8/1

N2 - 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.

AB - 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.

KW - Aged

KW - Endometrial Hyperplasia

KW - Endometrial Neoplasms

KW - Female

KW - Humans

KW - Hysterectomy

KW - Incidence

KW - Laparoscopy

KW - Lymph Node Excision

KW - Lymphedema

KW - Middle Aged

KW - Retrospective Studies

KW - Robotic Surgical Procedures

KW - Urinary Tract Infections

M3 - Journal article

C2 - 26239585

SN - 2245-1919

VL - 62

SP - 1

EP - 7

JO - Danish Medical Journal

JF - Danish Medical Journal

IS - 8

M1 - A5109

ER -