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Comparative Survival Outcome of Robot-Assisted Staging Surgery Using Three Robotic Arms versus Open Surgery for Endometrial Cancer

Authors
 Kyung Jin Eoh  ;  Dae Woo Lee  ;  Ji Hyun Lee  ;  Eun Ji Nam  ;  Sang Wun Kim  ;  Young Tae Kim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.62(1) : 68-74, 2021-01 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2021-01
MeSH
Adult ; Aged ; Cohort Studies ; Disease-Free Survival ; Endometrial Neoplasms / pathology ; Endometrial Neoplasms / surgery* ; Female ; Humans ; Lymphatic Metastasis ; Middle Aged ; Neoplasm Staging ; Propensity Score ; Retrospective Studies ; Robotic Surgical Procedures / instrumentation ; Robotic Surgical Procedures / methods*
Keywords
Endometrial cancer ; robot-assisted surgery ; survival
Abstract
Purpose: There is lack of data on direct comparison of survival outcomes between open surgery and robot-assisted staging surgery (RSS) using three robotic arms for endometrial cancer. The purpose of this study was to compare the overall survival (OS) and disease-free survival (DFS) between open surgery and RSS using three robotic arms for endometrial cancer.

Materials and methods: Consecutive women with endometrial cancer who underwent surgery between May 2006 and May 2018 were identified. Robotic procedures were performed using the da Vinci robotic system, and the robotic approach consisted of three robotic arms including a camera arm. Propensity score matching, as well as univariate and multivariate Cox regression of OS and DFS were performed according to clinicopathologic data and surgical method.

Results: The study cohort included 423 unselected patients with endometrial cancer, of whom 218 underwent open surgery and 205 underwent RSS using three robotic arms. Propensity score-matched cohorts of 146 women in each surgical group showed no significant differences in survival: 5-year OS of 91% vs. 92% and DFS of 86% vs. 89% in the open and robotic cohorts, respectively (hazard ratio, 1.02; 95% confidence interval, 0.82-1.67). In the univariate analysis with OS as the endpoint, surgical method, age, stage, type II histology, grade, and lymph node metastasis were independently associated with survival. Surgical stage, grade, and type II histology were found to be significant independent predictors for OS in the multivariate analysis.

Conclusion: RSS using three robotic arms and laparotomy for endometrial carcinoma had comparable survival outcomes.
Files in This Item:
T202100132.pdf Download
DOI
10.3349/ymj.2021.62.1.68
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sang Wun(김상운) ORCID logo https://orcid.org/0000-0002-8342-8701
Kim, Young Tae(김영태) ORCID logo https://orcid.org/0000-0002-7347-1052
Nam, Eun Ji(남은지) ORCID logo https://orcid.org/0000-0003-0189-3560
Eoh, Kyung Jin(어경진) ORCID logo https://orcid.org/0000-0002-1684-2267
Lee, Ji Hyun(이지현)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181976
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