A cohort study evaluating robotic versus laparotomy surgical outcomes of obese women with endometrial carcinoma

Subramaniam, Akila; Kim, Kenneth H.; Bryant, Shannon A.; Zhang, Bin; Sikes, Christa; Kimball, Kristopher J.; Kilgore, Larry C.; Huh, Warner K.; Straughn, J. Michael; Alvarez, Ronald D.

doi:10.1016/j.ygyno.2011.05.024

Cited by 91 publications

(54 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…By contrast, most studies evaluating minimally invasive treatments for endometrial cancer are small, retrospective studies comparing laparotomy to either RALS or CLS [7][8][9]11,12,[32][33][34][35]. Our group has previously reported on similar outcomes when comparing RALS with CLS in other types of gynecologic cancer [20,21].…”

Section: Journal Of Adenocarcinoma Issn 2572-309xmentioning

confidence: 84%

See 1 more Smart Citation

Perioperative Outcomes in Robotic-Assisted Versus Conventional Laparoscopic Treatment of Endometrial Cancer

Nezhat¹,

Apostol²,

Vega³

et al. 2016

J Adenocarcinoma

View full text Add to dashboard Cite

Section: Journal Of Adenocarcinoma Issn 2572-309xmentioning

confidence: 84%

“…Most studies have compared RALS to laparotomy [7][8][9][10][11][12][13]. In addition, most studies comparing the various surgical techniques include several surgeons, whose potential differences in skill level may introduce a confounding variable into results.…”

Section: Journal Of Adenocarcinoma Issn 2572-309xmentioning

confidence: 99%

Perioperative Outcomes in Robotic-Assisted Versus Conventional Laparoscopic Treatment of Endometrial Cancer

Nezhat¹,

Apostol²,

Vega³

et al. 2016

J Adenocarcinoma

View full text Add to dashboard Cite

“…There were ten retrospective studies, 3,4,7,15,[22][23][24][25][26][27] three prospective studies, [28][29][30] and no randomized clinical trials (RCTs) in this review. The sample size of the retrospective studies and prospective studies ranged between 42 and 655 women and 86 and 233 women, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies compared the efficacy and safety of minimally invasive surgeries versus laparotomy in the management of obese patients. 15,22,25,26,29 There were mixed results in the findings of the retrospective studies. A retrospective study in Turkey, conducted by Akbayir et al, 4 assessed the influence of BMI on surgical morbidity and outcome in normal-weight, overweight, and obese patients.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Impact of Obesity on Surgical Outcome in Endometrial Cancer Patients: A Systematic Review

Orekoya

Samson

Trivedi

et al. 2016

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

Background: Obesity is a significant public health problem in the United States, and many studies have established obesity as a significant risk factor for endometrial cancer. Surgery is the standard of care in staging and treatment of endometrial cancer, and obesity may influence surgical outcomes because of its attendant comorbid conditions. Therefore, assessment of the impact of obesity on surgical outcome is important for decreasing morbidity and improving survival in patients with endometrial cancer. Objective: The aims of this research were to evaluate and review epidemiologic data systematically on the impact of obesity on surgical outcomes and to assess safety and feasibility of newer surgical techniques in obese patients. Materials and Methods: A systematic search of PubMed was conducted to identify articles between 2004 and 2013 that focused on the impact of obesity on surgical outcome. Reference lists of retrieved articles were also used to identify other relevant articles. Thirteen relevant articles were reviewed. Results: Evidence from epidemiologic studies showed that obesity impacts surgical outcome adversely. On average, obese patients have worse surgical outcomes than their nonobese counterparts. In addition, surgical outcome worsens as level of obesity increases. However, surgical procedure also influences this association. Minimally invasive surgeries are more useful and are accompanied with fewer complications than conventional laparotomy and can be performed safely in obese patients. Conclusions: Obesity is a significant risk in the etiology, treatment, and surgical outcomes of patients with endometrial cancer. Future research will need more randomized controlled trials and prospective studies to identify the best procedures for maximal outcomes. ( J GYNECOL SURG 32:149)

show abstract

The role of robotic surgery in endometrial cancer

O’Malley

Smith

Fowler

2015

Journal of Surgical Oncology

View full text Add to dashboard Cite

Robotic surgery for endometrial cancer has less blood loss, shorter hospital stays, and less postoperative complications compared to laparotomies. Robotic technologic advantages over laparoscopic technique are most pronounced in obese patients. The shorter learning curve may explain the greater utilization of the robotic technique. Robotic surgery will continue as a mainstay in the treatment of uterine cancers as we become more efficient and cost conscious while maintaining the high quality outcomes that have been reported.

show abstract

A cohort study evaluating robotic versus laparotomy surgical outcomes of obese women with endometrial carcinoma

Cited by 91 publications

References 10 publications

Perioperative Outcomes in Robotic-Assisted Versus Conventional Laparoscopic Treatment of Endometrial Cancer

Perioperative Outcomes in Robotic-Assisted Versus Conventional Laparoscopic Treatment of Endometrial Cancer

The Impact of Obesity on Surgical Outcome in Endometrial Cancer Patients: A Systematic Review

The role of robotic surgery in endometrial cancer

Contact Info

Product

Resources

About