Published in:
01-12-2019 | Laparotomy | Endometrial Cancer (G Sel, SECTION EDITOR)
Robotic Surgery in Endometrial Cancer
Published in: Current Obstetrics and Gynecology Reports | Issue 4/2019
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Purpose of Review
The number of minimal invasive gynecological oncological operations performed especially for endometrial cancer is increasing rapidly parallel with the increase in robotic systems in hospitals. This paper focuses on evaluating the studies comparing robotic surgery with laparoscopic and open surgery in patients with endometrial cancer in light of current literature.
Recent Findings
When the current literature is examined, it is seen that the results of robotic surgery have similar results to laparoscopy such as length of hospital stay, postoperative pain, recovery in a short time, and less blood vessels, and they are disadvantageous in terms of cost compared with laparoscopy. When compared with laparotomy, it is emphasized that there is no difference in terms of intraoperative oncologic surgery results and it is a method that can be chosen as a minimally invasive surgery option especially in obese patients because of its ergonomics.
Summary
Although there is no randomized controlled study comparing the results of laparoscopic and open surgery with robotic surgery, retrospective data suggests that perioperative morbidity in robotic surgery is less and improves in terms of intraoperative surgical outcomes. As with benign gynecological procedures, randomized controlled trials are needed to identify patients who may benefit from robotic surgery and to better define clinical outcomes. It should be noted that randomized controlled trials comparing surgical and robotic-assisted surgery with laparoscopy are lacking and most of them are derived from retrospective data.