Dual docking robotic surgical staging for high risk endometrial cancer.

摘要: Abstract Objective The standard of care for patients with high intermediate and risk endometrial cancer is surgical staging including total hysterectomy bilateral salpingo-oophorectomy, pelvic para-aortic lymphadenectomy. Over the past decade, laparoscopic or robot-assisted minimally invasive surgery has showed many benefits in management cancer. Few studies have specifically assessed use objective this study was to evaluate feasibility, morbidity oncologic outcomes dual docking Methods We conducted a retrospective observational from January 2014 March 2016 who underwent robotic paraaortic lymphadenectomy (± omentectomy). Patients' demographics, operative time, conversion rate, intra postoperative complications, pathologic results, length stay survival were analyzed. Results Twenty met inclusion criteria. Staging procedure performed robotically 18 patients. Two converted laparotomy (1 bladder extension, 1 exposure reasons) no patient had laparoconversion complication (conversion rate 10%). One post operatively re-operated within 30 days because port hernia. In one case, not hemorrhage risk. When surgery, median number nodes 19.5 (3–45). time 240 min (180–300). Eighty-five percent (17/20) discharged at day 4 before. start adjuvant treatments, when indicated, 5.5 weeks. With follow up 8 months (1–18 months), tumor recurrence reported. Conclusion Robotic women seems be feasible few complications. More are required assess safety its impact on survival.