Comparison between single‐site and multiport robot‐assisted hysterectomy in obese patients with endometrial cancer: An Italian multi‐institutional study. Issue 2 (29th December 2019)

• Record Type: Journal Article
• Authors: Corrado, Giacomo; Mereu, Liliana; Bogliolo, Stefano; Cela, Vito; Gardella, Barbara; Sperduti, Isabella; Certelli, Camilla; Pellegrini, Alice; Posar, Giulia; Zampa, Ashanti; Tateo, Saverio; Gadducci, Angiolo; Spinillo, Arsenio; Vizza, Enrico
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 16:Issue 2(2020)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2019-12-29
• Subjects: endometrial cancer -- obesity -- robotic multiport hysterectomy -- robotic single‐site hysterectomy; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.2066
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: Background: The aim of this study is to compare robotic single‐site hysterectomy (RSSH) and robotic multiport hysterectomy (RMPH) for endometrial cancer (EC) in obese patients in terms of surgical outcomes. Methods: This retrospective study compares RSSH with RMPH in obese patients with EC and FIGO stages I to II divided in three classes according to their body mass index (BMI): class A (30‐34.9 kg/m 2 ), class B (35‐39.9 kg/m 2 ), and class C (>40 kg/m 2 ). Results: We included 225 patients (RSSH: 76; RMPH: 149). The operative time and estimated blood loss (EBL) were lower in the A class of the RSSH group. The EBL and the conversion rate increased when the BMI increased in the RSSH group. The hospital stay was higher in the A class of the RMPH group. Conclusions: The advantages of RSSH in terms of reduced invasiveness remain true only in the first BMI class, whereas they are lost when the BMI increased.