The patient and observer scar assessment scale to evaluate the cosmetic outcomes of the robotic single-site hysterectomy in endometrial cancer

Antonino Perino, Gloria Calagna, Ermelinda Baiocco, Giuseppe Cutillo, Arabella Bufalo, Ashanti Zampa, Enrico Vizza, Giacomo Corrado

Risultato della ricerca: Article

1 Citazione (Scopus)

Abstract

Objective The objective of this study was to evaluate the cosmetic outcome of robotic single-site hysterectomy (RSSH) in early-stage endometrial cancer. Methods We prospectively collected patient demographics, operative times, complications, pathologic results, and length of stay on all patients who underwent RSSH for early-stage endometrial cancer. The Patient and Observer Scar Assessment Scale (POSAS) was used for the evaluation of the cosmetic outcome. Results Forty-five patients were included in our study from January 2012 to October 2015. The median age of patients was 63 years (range, 35-84 years), and the median body mass index was 26.5 kg/m 2 (range, 18-39 kg/m 2). No laparoscopic/laparotomic conversion was registered. The median docking time, console time, and total operative time were 7 minutes (range, 4-14 minutes), 46 minutes (range, 20-100 minutes), and 90 minutes (range, 45-150 minutes), respectively. The median blood loss was 50 mL (range, 10-150 mL). Nine patients underwent pelvic lymphadenectomy, and the median number of pelvic lymph nodes was 13 (range, 10-32). The median time to discharge was 3 days (range, 2-6 days). No intraoperative complications occurred, whereas we did observe 1 early postoperative complication. The oncological outcome was directly comparable to the literature. Patients reported low pain scores and high satisfaction in terms of postoperative scarring. The POSAS scores confirmed excellent cosmetic outcome of RSSH. Conclusion Robotic single-site hysterectomy provided an efficient option for gynecologic oncologic surgery. The POSAS revealed high objective and patient-evaluated outcome, and patients were highly satisfied with the overall outcome of the appearance of their scars.
Lingua originaleEnglish
pagine (da-a)194-199
Numero di pagine6
RivistaInternational Journal of Gynecological Cancer
Volume28
Stato di pubblicazionePublished - 2018

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Robotics
Endometrial Neoplasms
Hysterectomy
Cosmetics
Cicatrix
Operative Time
Gynecologic Surgical Procedures
Intraoperative Complications
Lymph Node Excision
Length of Stay
Body Mass Index
Lymph Nodes
Demography
Pain

All Science Journal Classification (ASJC) codes

  • Oncology
  • Obstetrics and Gynaecology

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The patient and observer scar assessment scale to evaluate the cosmetic outcomes of the robotic single-site hysterectomy in endometrial cancer. / Perino, Antonino; Calagna, Gloria; Baiocco, Ermelinda; Cutillo, Giuseppe; Bufalo, Arabella; Zampa, Ashanti; Vizza, Enrico; Corrado, Giacomo.

In: International Journal of Gynecological Cancer, Vol. 28, 2018, pag. 194-199.

Risultato della ricerca: Article

Perino, Antonino ; Calagna, Gloria ; Baiocco, Ermelinda ; Cutillo, Giuseppe ; Bufalo, Arabella ; Zampa, Ashanti ; Vizza, Enrico ; Corrado, Giacomo. / The patient and observer scar assessment scale to evaluate the cosmetic outcomes of the robotic single-site hysterectomy in endometrial cancer. In: International Journal of Gynecological Cancer. 2018 ; Vol. 28. pagg. 194-199.
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title = "The patient and observer scar assessment scale to evaluate the cosmetic outcomes of the robotic single-site hysterectomy in endometrial cancer",
abstract = "Objective The objective of this study was to evaluate the cosmetic outcome of robotic single-site hysterectomy (RSSH) in early-stage endometrial cancer. Methods We prospectively collected patient demographics, operative times, complications, pathologic results, and length of stay on all patients who underwent RSSH for early-stage endometrial cancer. The Patient and Observer Scar Assessment Scale (POSAS) was used for the evaluation of the cosmetic outcome. Results Forty-five patients were included in our study from January 2012 to October 2015. The median age of patients was 63 years (range, 35-84 years), and the median body mass index was 26.5 kg/m 2 (range, 18-39 kg/m 2). No laparoscopic/laparotomic conversion was registered. The median docking time, console time, and total operative time were 7 minutes (range, 4-14 minutes), 46 minutes (range, 20-100 minutes), and 90 minutes (range, 45-150 minutes), respectively. The median blood loss was 50 mL (range, 10-150 mL). Nine patients underwent pelvic lymphadenectomy, and the median number of pelvic lymph nodes was 13 (range, 10-32). The median time to discharge was 3 days (range, 2-6 days). No intraoperative complications occurred, whereas we did observe 1 early postoperative complication. The oncological outcome was directly comparable to the literature. Patients reported low pain scores and high satisfaction in terms of postoperative scarring. The POSAS scores confirmed excellent cosmetic outcome of RSSH. Conclusion Robotic single-site hysterectomy provided an efficient option for gynecologic oncologic surgery. The POSAS revealed high objective and patient-evaluated outcome, and patients were highly satisfied with the overall outcome of the appearance of their scars.",
keywords = "80 and over; Cicatrix; Endometrial Neoplasms; Female; Humans; Hysterectomy; Middle Aged; Prospective Studies; Robotic Surgical Procedures; Oncology; Obstetrics and Gynecology, Endometrial cancer; POSAS; Robotic single-site hysterectomy; Adult; Aged; Aged",
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T1 - The patient and observer scar assessment scale to evaluate the cosmetic outcomes of the robotic single-site hysterectomy in endometrial cancer

AU - Perino, Antonino

AU - Calagna, Gloria

AU - Baiocco, Ermelinda

AU - Cutillo, Giuseppe

AU - Bufalo, Arabella

AU - Zampa, Ashanti

AU - Vizza, Enrico

AU - Corrado, Giacomo

PY - 2018

Y1 - 2018

N2 - Objective The objective of this study was to evaluate the cosmetic outcome of robotic single-site hysterectomy (RSSH) in early-stage endometrial cancer. Methods We prospectively collected patient demographics, operative times, complications, pathologic results, and length of stay on all patients who underwent RSSH for early-stage endometrial cancer. The Patient and Observer Scar Assessment Scale (POSAS) was used for the evaluation of the cosmetic outcome. Results Forty-five patients were included in our study from January 2012 to October 2015. The median age of patients was 63 years (range, 35-84 years), and the median body mass index was 26.5 kg/m 2 (range, 18-39 kg/m 2). No laparoscopic/laparotomic conversion was registered. The median docking time, console time, and total operative time were 7 minutes (range, 4-14 minutes), 46 minutes (range, 20-100 minutes), and 90 minutes (range, 45-150 minutes), respectively. The median blood loss was 50 mL (range, 10-150 mL). Nine patients underwent pelvic lymphadenectomy, and the median number of pelvic lymph nodes was 13 (range, 10-32). The median time to discharge was 3 days (range, 2-6 days). No intraoperative complications occurred, whereas we did observe 1 early postoperative complication. The oncological outcome was directly comparable to the literature. Patients reported low pain scores and high satisfaction in terms of postoperative scarring. The POSAS scores confirmed excellent cosmetic outcome of RSSH. Conclusion Robotic single-site hysterectomy provided an efficient option for gynecologic oncologic surgery. The POSAS revealed high objective and patient-evaluated outcome, and patients were highly satisfied with the overall outcome of the appearance of their scars.

AB - Objective The objective of this study was to evaluate the cosmetic outcome of robotic single-site hysterectomy (RSSH) in early-stage endometrial cancer. Methods We prospectively collected patient demographics, operative times, complications, pathologic results, and length of stay on all patients who underwent RSSH for early-stage endometrial cancer. The Patient and Observer Scar Assessment Scale (POSAS) was used for the evaluation of the cosmetic outcome. Results Forty-five patients were included in our study from January 2012 to October 2015. The median age of patients was 63 years (range, 35-84 years), and the median body mass index was 26.5 kg/m 2 (range, 18-39 kg/m 2). No laparoscopic/laparotomic conversion was registered. The median docking time, console time, and total operative time were 7 minutes (range, 4-14 minutes), 46 minutes (range, 20-100 minutes), and 90 minutes (range, 45-150 minutes), respectively. The median blood loss was 50 mL (range, 10-150 mL). Nine patients underwent pelvic lymphadenectomy, and the median number of pelvic lymph nodes was 13 (range, 10-32). The median time to discharge was 3 days (range, 2-6 days). No intraoperative complications occurred, whereas we did observe 1 early postoperative complication. The oncological outcome was directly comparable to the literature. Patients reported low pain scores and high satisfaction in terms of postoperative scarring. The POSAS scores confirmed excellent cosmetic outcome of RSSH. Conclusion Robotic single-site hysterectomy provided an efficient option for gynecologic oncologic surgery. The POSAS revealed high objective and patient-evaluated outcome, and patients were highly satisfied with the overall outcome of the appearance of their scars.

KW - 80 and over; Cicatrix; Endometrial Neoplasms; Female; Humans; Hysterectomy; Middle Aged; Prospective Studies; Robotic Surgical Procedures; Oncology; Obstetrics and Gynecology

KW - Endometrial cancer; POSAS; Robotic single-site hysterectomy; Adult; Aged; Aged

UR - http://hdl.handle.net/10447/277022

UR - http://journals.lww.com/ijgc/pages/default.aspx

M3 - Article

VL - 28

SP - 194

EP - 199

JO - International Journal of Gynecological Cancer

JF - International Journal of Gynecological Cancer

SN - 1048-891X

ER -