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Is robotic surgery beneficial for the treatment of endometrial cancer? A comparison with conventional laparoscopic surgery
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Is robotic surgery beneficial for the treatment of endometrial cancer? A comparison with conventional laparoscopic surgery
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Journal Article
Is robotic surgery beneficial for the treatment of endometrial cancer? A comparison with conventional laparoscopic surgery
2024
Overview
The objective of this study was to compare the oncologic outcomes between those who underwent robotic surgery or conventional laparoscopic surgery for endometrial cancer.
We performed a retrospective review of patients from a single institution who underwent either laparoscopic or robotic surgery for the treatment of endometrial cancer between January 2010 and December 2020. Tumor characteristics, recurrence rate, disease-free survival, and overall survival were compared according to surgical approach.
Among the 268 patients included in this study, 95 underwent robotic surgery (35.4%) and 173 underwent laparoscopic surgery (64.6%). The median follow-up durations were 51 and 59 months for the robotic surgery and laparoscopic surgery groups, respectively (
= 0.085). The recurrence rate did not differ significantly between the two groups. (
= 0.371). Disease-free survival (
= 0.721) and overall survival (
= 0.453) were similar between the two groups. In both univariate and multivariate analyses, the type of surgery was not related to disease-free survival. The median total cost per admission was significantly higher for RS than for LS (12,123 vs. 6,884 USD,
< 0.0001).
With consistently greater costs and similar survival outcomes, robotic systems have few advantages compared with laparoscopy.
Publisher
Ivyspring International Publisher
Subject
