Endometrial cancer: Robotic versus Laparoscopic treatment. Preliminary report

Antonino Agrusa, Gloria Calagna, Giorgio Romano, Gaspare Cucinella, Antonino Perino, Giuseppe Di Buono, Gaspare Gulotta, Maria Margherita Triolo, Valentina Billone, Vincenzo Sorce

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Abstract

Laparoscopic approach is today the standard treatment for benign and malignant gynecological pathologies. To traditional laparoscopic surgery in the last 10 years we can add the possibility to use a robotic platform. The adoption of this system allows undoubted advantages as the three-dimensional vision, the absence of the physiological tremor with enhanced ergonomics and possibility of using articulable tools. In this study we analyzed the results of 18 patients with endometrial cancer (Stage I) treated with robotic approach. The results were compared with a selected sample of 26 patients, with the same characteristics, treated with traditional laparoscopic approach in the same period by the same surgical team. The mean total operative time was significantly longer for robotic than laparoscopic group (125.6 min vs 102.3 min). However, if to this operative time we remove the time of preparation (docking time) we obtain the following results: 102.5 min for robotic group and 95.7 min for the laparoscopic control group. Intra-operative blood loss are significantly lower in the robotic group than in laparoscopic group. The robotic treatment of gynecological cancer is a safe and feasible technique. The oncological results are also equivalent to those of traditional laparoscopic surgery with advantages in terms of precision and reduction of intraoperative bleeding. Additional clinical studies on larger samples and heterogeneous patients are necessary in order to clarify the real advantages of robotic treatment.
Original languageEnglish
Pages (from-to)283-287
Number of pages5
JournalGiornale Italiano di Ostetricia e Ginecologia
Volume37
Publication statusPublished - 2015

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Robotics
Endometrial Neoplasms
Operative Time
Laparoscopy
Therapeutics
Human Engineering
Tremor
Pathology
Hemorrhage
Control Groups
Neoplasms

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

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title = "Endometrial cancer: Robotic versus Laparoscopic treatment. Preliminary report",
abstract = "Laparoscopic approach is today the standard treatment for benign and malignant gynecological pathologies. To traditional laparoscopic surgery in the last 10 years we can add the possibility to use a robotic platform. The adoption of this system allows undoubted advantages as the three-dimensional vision, the absence of the physiological tremor with enhanced ergonomics and possibility of using articulable tools. In this study we analyzed the results of 18 patients with endometrial cancer (Stage I) treated with robotic approach. The results were compared with a selected sample of 26 patients, with the same characteristics, treated with traditional laparoscopic approach in the same period by the same surgical team. The mean total operative time was significantly longer for robotic than laparoscopic group (125.6 min vs 102.3 min). However, if to this operative time we remove the time of preparation (docking time) we obtain the following results: 102.5 min for robotic group and 95.7 min for the laparoscopic control group. Intra-operative blood loss are significantly lower in the robotic group than in laparoscopic group. The robotic treatment of gynecological cancer is a safe and feasible technique. The oncological results are also equivalent to those of traditional laparoscopic surgery with advantages in terms of precision and reduction of intraoperative bleeding. Additional clinical studies on larger samples and heterogeneous patients are necessary in order to clarify the real advantages of robotic treatment.",
author = "Antonino Agrusa and Gloria Calagna and Giorgio Romano and Gaspare Cucinella and Antonino Perino and {Di Buono}, Giuseppe and Gaspare Gulotta and Triolo, {Maria Margherita} and Valentina Billone and Vincenzo Sorce",
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T1 - Endometrial cancer: Robotic versus Laparoscopic treatment. Preliminary report

AU - Agrusa, Antonino

AU - Calagna, Gloria

AU - Romano, Giorgio

AU - Cucinella, Gaspare

AU - Perino, Antonino

AU - Di Buono, Giuseppe

AU - Gulotta, Gaspare

AU - Triolo, Maria Margherita

AU - Billone, Valentina

AU - Sorce, Vincenzo

PY - 2015

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