Endometrial cancer: robotic versus laparoscopic treatment. Preliminary report

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

doi:10.11138/giog/2015.37.6.283

Cited by 19 publications

(21 citation statements)

References 11 publications

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“…Agcaoglu et al [ 21 ] reported a shorter operative time in RA in selected patients with large adrenal tumors. We described the controversies regarding the use of minimal invasive surgery in case of large adrenal masses because of technical limitations, longer operative time and increased blood loss [ 37 , 38 ]. The critical difference between robotic and laparoscopic surgery was related to three-dimensional vision and wristed robotic instruments versus rigid laparoscopic devices.…”

Section: Discussionmentioning

confidence: 99%

“…On the other side robotic approach registered a longer operative timeand additional trocars that were in contrast with a reduced hospital stay. The difference could hide an operator relating bias explained with the positive expectations from a new procedure and the medical staff focused on the early hospital discharge [ 38 , 39 ]. Only few studies of this research reported a long-term follow up for their patients.…”

Section: Discussionmentioning

confidence: 99%

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Innovation in endocrine surgery: robotic versus laparoscopic adrenalectomy. Meta-analysis and systematic literature review

et al. 2017

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Several studies in the last years demonstrated the better surgical outcome of laparoscopic approach to adrenal gland. Laparoscopic surgery is more difficult to learn and requires different psychomotor skills than open surgery, especially with regard to complex maneuvers requiring precision and dexterity. The development of robotic platform with three-dimensional vision and increased degrees of freedom of the surgical instruments has the aim to overcome these problems. We performed a systematic literature review with meta-analysis to evaluate preoperative data and surgical outcomes of robotic adrenalectomy compared with laparoscopic technique. In September 2016 we performed a systematic literature review using the Pubmed, Scopus and ISI web of knowledge database with search term “robotic adrenalectomy”. We identified 13 studies with eligible criteria that compared surgical outcomes. This present systematic review with meta-analysis includes 798 patients: 379 underwent to robotic adrenalectomy (cases group) and 419 to laparoscopic adrenalectomy (controls group). There were no significant differences between the two groups of patients respect to age, gender, laterality and tumor size. BMI instead was significant lower in the robotic group. In this group we found also patients with higher incidence of previous abdominal surgery. The results from operative time demonstrated lower operative time for laparoscopic group but there were no significant differences with robotic group. Robotic adrenalectomy showed a significant lower blood loss. Robotic adrenalectomy is a safe and feasible technique with reduced blood loss and shorter hospital stay than laparoscopic adrenalectomy. Laparoscopic approach seems to be a more rapid technique when comparing to robotic technique, although recent studies demonstrate a significant operative time reduction in robotic group with the learning curve improvement and the development of new surgical technology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Innovation in endocrine surgery: robotic versus laparoscopic adrenalectomy. Meta-analysis and systematic literature review

et al. 2017

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“…Abdominal CT scan identified a small left ovarian cyst, with partially defined borders, calcific walls, and internal fluid. According to the data in literature, the ovaries are the most affected organs in case of female genital schistosomiasis via the rectovaginal septum blood flow . The typical radiological presentation consists in calcific aspect of the mass due to the presence of schistosomal granulomas surrounding eggs of S mansoni with sovrafluid content forming by inflammatory response .…”

Section: Discussionmentioning

confidence: 99%

Systemic schistosomiasis and large bowel perforation: An unexpected surgical urgency. Report of a case and literature review

Agrusa

Buono

Buscemi

et al. 2019

Clinical Case Reports

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“…However, it has not yet been proven if the use of robotic surgery result in better clinical outcomes than conventional laparoscopy (22). Several recent studies support the use of robotic surgery in gynecologic oncology (23,24) and in the correction of pelvic floor defects. The RSC was introduced in 2004 as the last step in the evolution of minimally invasive surgery (25).…”

Section: Discussionmentioning

confidence: 99%

Robotic versus laparoscopic sacrocolpopexy for apical prolapse: a case-control study

Cucinella¹,

Calagna²,

Buono³

et al. 2016

GCHIR

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The apical prolapse has always been considered the most complex of the defects of the pelvic floor, for both the difficulty of the surgical corrective technique and for the high post-surgical recurrence rate. This is a fairly frequent pathological condition. It is estimated that in her life 1/10 women undergoes a hysterectomy and up to 10% of these requiring surgical correction of apical prolapse (1). The standard treatment for surgical management of apical prolapse is abdominal sacrocolpopexy (ASC) (2). The progress made in the field of laparoscopic surgery in the past decades and the numerous literature reports that confirmed the considerable advantages respect to abdominal open surgery, allowed the spread of laparoscopic sacrocolpopexy (LSC). The technique was introduced in 1994 by Nezhat, integrating the experience of open conventional surgery with the advantages of minimally invasive approach, in order to minimize morbidity and accelerating the recovery of patients (3). Today, the LSC can be considered the standard treatment for apical prolapse. Several studies over the years have compared the laparoscopic approach with the open abdominal surgery. LSC is associated with less intra-operative blood loss, reduction in post-operative pain and a shorter hospital stay (4). Currently, with reference to minimally invasive surgery the most advanced and sophisticated tool available is the DaVinci Surgical System (Intuitive Surgical Inc., Sunnyvale, California, USA). The robotic surgical systems have been developed with the aim of facilitating the technically difficult procedures: the 3D-HD vision system, the use of a dedicated console and instruments with great flexibility and precision of the movements, also allow the execution of the most complex surgical maneuvers, acheiving excellent results. In the last years, several surgical operations were performed with robotic system, like robotic-assisted sacral colpopexy SUMMARY: Robotic versus laparoscopic sacrocolpopexy for apical prolapse: a case-control study.

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Endometrial cancer: robotic versus laparoscopic treatment. Preliminary report

Cited by 19 publications

References 11 publications

Innovation in endocrine surgery: robotic versus laparoscopic adrenalectomy. Meta-analysis and systematic literature review

Innovation in endocrine surgery: robotic versus laparoscopic adrenalectomy. Meta-analysis and systematic literature review

Systemic schistosomiasis and large bowel perforation: An unexpected surgical urgency. Report of a case and literature review

Robotic versus laparoscopic sacrocolpopexy for apical prolapse: a case-control study

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