Department of Gynecology, Legacy Health System, Portland, OR, USA.
Am J Obstet Gynecol. 2012 Jun;206(6):513.e1-6. doi: 10.1016/j.ajog.2012.01.002. Epub 2012 Jan 12.
To compare surgical outcomes for robotic vs laparotomy staging in obese endometrial cancer patients.
This was a retrospective cohort study of patients with body mass index ≥30 kg/m(2) staged in a community gynecologic oncology practice. Patients undergoing robotic staging were compared with historic laparotomy controls.
One hundred twenty-nine patients underwent robotic staging, compared with 110 laparotomy patients. The robotic cohort had fewer abdominal wound complications (13.9% vs 32.7%, P < .001), but more vaginal cuff complications (4.7% vs 0%, P = .032). Blood loss was lower in the robotic group (P < .001), as was length of stay (P < .001). Surgical times were longer in the robotic group (P < .001). There was no difference in terms of percentage of patients undergoing pelvic or paraaortic lymph node dissection.
Robotic staging for endometrial cancer is feasible in obese women, with fewer abdominal wound complications, but more vaginal cuff complications.
比较肥胖子宫内膜癌患者行机器人手术与开腹手术分期的手术结果。
这是一项在社区妇科肿瘤实践中对体质量指数（BMI）≥30kg/m²的患者进行的回顾性队列研究。将接受机器人分期的患者与历史开腹对照组进行比较。
129 例患者接受了机器人分期，而 110 例患者接受了开腹手术。机器人组的腹部伤口并发症较少（13.9%比 32.7%，P<.001），但阴道残端并发症较多（4.7%比 0%，P=.032）。机器人组的出血量较低（P<.001），住院时间也较短（P<.001）。两组行盆腔或腹主动脉旁淋巴结清扫术的患者比例无差异。
机器人分期治疗肥胖女性子宫内膜癌是可行的，其具有较少的腹部伤口并发症，但阴道残端并发症更多。
