Robotic single-site staging operation for early-stage endometrial cancer: initial experience at a single institution
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ObjectiveThe aims of this study were to introduce surgical guidelines, and to evaluate the feasibility and safety of a roboticsingle-site staging (RSSS) operation for early-stage endometrial cancer. MethodsPatients with a preoperative diagnosis of endometrial cancer (International Federation of Gynecology and Obstetricsstages IA to IB) from endometrial curettage and preoperative imaging studies were selected at Dongsan MedicalCenter from March 2014 to November 2015. All surgical procedures, including hysterectomy, salpingo-oophorectomy,bilateral pelvic node dissection, and cytology aspiration, were performed by robotic single-site instruments (da VinciSi® surgical system; Intuitive Surgical, Sunnyvale, CA, USA). ResultsA total of 15 women with early-stage endometrial cancer underwent the RSSS operation. The median patient ageand body mass index were 53 years (range, 37–70 years) and 25.4 kg/m2 (range, 18.3–46.4 kg/m2). The median dockingtime, console time, and total operative time were 8 minutes (range, 4–15 minutes), 75 minutes (range, 55–115minutes), and 155 minutes (range, 125–190 minutes), respectively. The median retrieval of both pelvic lymph nodeswas 9 (range, 6–15). There were no conversions to laparoscopy or laparotomy. ConclusionThe RSSS operation is feasible and safe in patients with early-stage endometrial cancer. In this study, operative timeswere reasonable, and the surgical procedure was well-tolerated by the patients. Further evaluation of patients withearly-stage endometrial cancer should be performed in large-scale comparative studies using the laparoendoscopic,single-site staging operation to confirm the safety and benefits of the RSSS operation for early-stage endometrialcancer.
Abstract
ObjectiveThe aims of this study were to introduce surgical guidelines, and to evaluate the feasibility and safety of a roboticsingle-site staging (RSSS) operation for early-stage endometrial cancer. MethodsPatients with a preoperative diagnosis of endometrial cancer (International Federation of Gynecology and Obstetricsstages IA to IB) from endometrial curettage and preoperative imaging studies were selected at Dongsan MedicalCenter from March 2014 to November 2015. All surgical procedures, including hysterectomy, salpingo-oophorectomy,bilateral pelvic node dissection, and cytology aspiration, were performed by robotic single-site instruments (da VinciSi® surgical system; Intuitive Surgical, Sunnyvale, CA, USA). ResultsA total of 15 women with early-stage endometrial cancer underwent the RSSS operation. The median patient ageand body mass index were 53 years (range, 37–70 years) and 25.4 kg/m2 (range, 18.3–46.4 kg/m2). The median dockingtime, console time, and total operative time were 8 minutes (range, 4–15 minutes), 75 minutes (range, 55–115minutes), and 155 minutes (range, 125–190 minutes), respectively. The median retrieval of both pelvic lymph nodeswas 9 (range, 6–15). There were no conversions to laparoscopy or laparotomy. ConclusionThe RSSS operation is feasible and safe in patients with early-stage endometrial cancer. In this study, operative timeswere reasonable, and the surgical procedure was well-tolerated by the patients. Further evaluation of patients withearly-stage endometrial cancer should be performed in large-scale comparative studies using the laparoendoscopic,single-site staging operation to confirm the safety and benefits of the RSSS operation for early-stage endometrialcancer.
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