Cited 0 times in
Robot-assisted versus conventional laparoscopic surgery for endometrial cancer: long-term comparison of outcomes
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김영태 | - |
dc.contributor.author | 어경진 | - |
dc.date.accessioned | 2023-11-07T07:48:41Z | - |
dc.date.available | 2023-11-07T07:48:41Z | - |
dc.date.issued | 2023-09 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/196522 | - |
dc.description.abstract | Objective: There is a lack of multi-institutional large-volume and long-term follow-up data on comparisons between robot-assisted surgery and conventional laparoscopic surgery. This study compared the surgical and long-term survival outcomes between patients who underwent robot-assisted or conventional laparoscopic surgery for endometrial cancer. Methods: We retrospectively reviewed the data of patients from five large academic institutions who underwent either robot-assisted or conventional laparoscopic surgery for the treatment of endometrial cancer between 2012 and 2017, ensuring at least 5 years of potential follow-up. Intra- and postoperative outcomes, long-term disease-free survival, and overall survival were compared. Results: The study cohort included 1,003 unselected patients: 551 and 452 patients received conventional laparoscopic and robot-assisted surgery, respectively. The median follow-up duration was 57 months. Postoperative complications were significantly less likely to occur in the robot-assisted surgery group compared to the laparoscopic surgery group (7.74% vs. 13.79%, P = 0.002), primarily limited to minor complications. There were no significant differences in survival: 5-year disease-free survival was 91.2% versus 90.0% (P = 0.628) and overall survival was 97.9% versus 96.8% (P = 0.285) in the robot-assisted and laparoscopic surgery cohorts, respectively. Cox proportional hazard regression models demonstrated that the mode of surgery was not associated with disease-free survival (hazard ratio, 0.897; confidence interval, 0.563-1.429) or overall survival (hazard ratio, 0.791; confidence interval, 0.330-1.895) after adjusting for confounding factors. Conclusion: Robot-assisted surgery for endometrial cancer demonstrates comparable long-term survival outcomes and a reduced incidence of postoperative minor complications when compared to conventional laparoscopic surgery. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Frontiers Research Foundation | - |
dc.relation.isPartOf | FRONTIERS IN ONCOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Robot-assisted versus conventional laparoscopic surgery for endometrial cancer: long-term comparison of outcomes | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Obstetrics and Gynecology (산부인과학교실) | - |
dc.contributor.googleauthor | Kyung Jin Eoh | - |
dc.contributor.googleauthor | Tae-Joong Kim | - |
dc.contributor.googleauthor | Jeong-Yeol Park | - |
dc.contributor.googleauthor | Hee Seung Kim | - |
dc.contributor.googleauthor | Jiheum Paek | - |
dc.contributor.googleauthor | Young Tae Kim | - |
dc.identifier.doi | 10.3389/fonc.2023.1219371 | - |
dc.contributor.localId | A00729 | - |
dc.contributor.localId | A04842 | - |
dc.relation.journalcode | J03512 | - |
dc.identifier.eissn | 2234-943X | - |
dc.identifier.pmid | 37781200 | - |
dc.subject.keyword | endometrial neoplasms | - |
dc.subject.keyword | laparoscopy | - |
dc.subject.keyword | mortality | - |
dc.subject.keyword | postoperative complications | - |
dc.subject.keyword | robotic surgical procedures | - |
dc.contributor.alternativeName | Kim, Young Tae | - |
dc.contributor.affiliatedAuthor | 김영태 | - |
dc.contributor.affiliatedAuthor | 어경진 | - |
dc.citation.volume | 13 | - |
dc.citation.startPage | 1219371 | - |
dc.identifier.bibliographicCitation | FRONTIERS IN ONCOLOGY, Vol.13 : 1219371, 2023-09 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.