Robotic Versus Laparoscopic Radical Hysterectomy in Cervical Cancer Patients: A Matched-Case Comparative Study

Abstract

Although operating time was longer in the RRH cases because of lesser experience on robotic platform, we showed that surgical outcomes and complication rate of RRH were comparable to those of LRH. In addition, surgical skills for LRH easily and safely translated to RRH in case of experienced laparoscopic surgeon.

Robotic radical hysterectomy in early stage cervical cancer: A systematic review and meta-analysis

“…We excluded 3 studies that evaluated different procedures or disease stages [43][44][45], 1 that included some cases of radical trachelectomy in the treatment cohort [9], 1 which was a protocol for a randomized controlled trial (RCT) [27], and 1 commentary [26]. Overall, 26 comparative studies that met the inclusion criteria were available for pooled analysis [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]28,29,[31][32][33][34]36,37,46,47]. Only 1 study included a mixed cohort of cervical and endometrial cancer cases.…”

“…All included studies were retrospective cohort design. Ten studies were conducted in the United States of America (USA) [10,11,16,17,21,22,24,33,36,47], 4 studies in Korea [13,20,25,37], 3 studies in Italy [14,23,46], 2 studies in Norway [31,32], 1 study in Sweden [29], 1 study in France [15], 1 study in Bulgaria [18], 1 study in Canada [19], 1 study in Czech [28], 1 study in Taiwan [12] and 1 study in both USA and Italy [34]. Overall, the studies had adequate methodological quality and low risk of bias, particularly in terms of cohort selection and outcome ascertainment.…”

“…However, the comparability of cases and controls was less consistent (Appendix B). In all, 4013 women were included in the pooled analysis; Table 1, RRH was compared to ARH in 10 of these studies [10,11,17,19,[21][22][23]25,28,29], 9 studies compared RRH against LRH [13][14][15]20,31,34,37,46,47] and 7 studies compared all 3 approaches [12,16,18,24,32,33,36]. All women were treated with RH with or without LA; RH was either type II or III according to Piver classification [48] or type B1 and C1 using Querleu and Morrow classification [49].…”

Comparison of Postoperative Period in Patients Having a Robotic-Assisted Total Laparoscopic Hysterectomy and Multi-Port Total Laparoscopic Hysterectomy

“…da robotik cerrahi uygulanan histerektomi hastalarında hastanede kalış sü-relerini daha uzun bulmuşlar ve bunun cerrahi deneyimle ilgili olduğunu belirtmişlerdir. 24 Bu çalışmanın kısıtlılıkları ise robotik cerrahi uygulamalarının hastaya ek maliyet gerektirmesi nedeni ile başlangıçta randomizasyon yapılama-ması ve postoperatif dönemde ağrı skorları yüksek olan hastalara ek analjeziğin IM uygulanmasıdır. Çalışmanın planlandığı dönemde klinikte rutin analjezi uygulamaları IM diklofenak sodyum şek-linde olduğundan, mevcut şartlarda karşılaştırma yapılabilmesi için çalışma protokolü değiştirilme-miştir.…”

Robotic-Assisted Radical Hysterectomy Results in Better Surgical Outcomes Compared to the Traditional Laparoscopic Radical Hysterectomy for the Treatment of Cervical Cancer

“…14,34 Interestingly, we noticed that studies from the United States tend to have much shorter duration of hospitalization compared with all laparoscopic studies conducted in Asia including 3 studies from Korea and 1 from Taiwan. 11,12,37 Maybe this is because of societal differences, because cancer patients in Asia tend to stay longer in the hospital because of national health insurance subsidies as suggested by Chen et al 11 The dissection of pelvic lymph nodes during radical hysterectomy is critical for the outcome of the patient.…”