Comparison of Perioperative and Oncologic Outcomes with Laparotomy, and Laparoscopic or Robotic Surgery for Women with Endometrial Cancer

Manchana, Tarinee; Puangsricharoen, Pimpitcha; Sirisabya, Nakarin; Worasethsin, Pongkasem; Vasuratna, Apichai; Termrungruanglert, Wichai; Tresukosol, Damrong

doi:10.7314/apjcp.2015.16.13.5483

Cited by 26 publications

(9 citation statements)

References 16 publications

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“…The risk of complications after pelvic radiation is undeniable, impacting not only on the genitourinary, but also the alimentary tract. This can affect patients directly or for a long time after the treatment, and include: urgency, stress urinary incontinence, interstitial cystitis, urinary bladder fibrosis, vaginal fibrosis and vesico/urethro-vaginal fistulas [25]. In one of our patients with cervical cancer (FIGO stage Ia) who underwent Wertheim-Meigs' surgery with adjuvant chemoradiation, vesico-vaginal fistula occurred three months after therapy completion.…”

Section: Discussionmentioning

confidence: 86%

“…There is no consensus in the literature concerning the impact of pelvic radiation on lower urinary tract symptoms or organ prolapse. Erekson et al and Manchana et al have stated that the use of radiation decreases pelvic floor function and the QoL of oncological survivors, whereas the results of other studies contradict these reports [22,[25][26][27][28]. The PORTEC-2 study conducted by de Boer et al on a group of 427 female oncological survivors revealed that in the seven and 10-years observation time, the frequency of lower urinary tract symptoms was higher, although it did not negatively affect the QoL of the patients [29].…”

Section: Discussionmentioning

confidence: 99%

“…When necessary, it is extended by pelvic lymphadenectomy, paracolpium removal or debulking surgery. This more aggressive and radical surgery results in direct intra-operative and early post-operative complications and injuries to adjacent tissues, and participates in increasing the probability of urogynaecological symptoms [20,[24][25][26]. Radical pelvic surgery aims to reduce the recurrence of the malignancy, but simultaneously may damage urogenital nerves and blood vessels.…”

Section: Discussionmentioning

confidence: 99%

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Urogynaecological Symptoms among Oncological Survivors and Impact of Oncological Treatment on Pelvic Floor Disorders and Lower Urinary Tract Symptoms. A Six-Month Follow-Up Study

Ziętek-Strobl

Futyma

Kuna-Broniowska

et al. 2020

JCM

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It has been widely underlined that both gynaecological malignancies and urogynaecological disorders are often associated with high stress and have a negative impact on the quality of life and psychological well-being of women affected. Knowledge of the pelvic anatomy is crucial in recommending and carrying out the least harmful although successful treatment. Subsequent chemoradiation may also induce or exaggerate troublesome symptoms. The aim of the study was to establish the frequency of urogynaecological symptoms (stress urinary incontinence, urgency, pelvic organ prolapse) and to assess the impact of surgical treatment and additional oncological therapy: pelvic radiation, chemoradiation, chemotherapy, on the prevalence of pelvic floor dysfunctions (PFD) and lower urinary tract symptoms (LUTS) in patients suffering from gynecological malignancies. The study group consisted of 160 women, diagnosed with gynaecological malignancy, who underwent surgical treatment and additional adjuvant treatment as necessary. To establish the QoL and prevalence of PFD Urinary Distress Inventory-6 (UDI-6), Incontinence Impact Questionnaire 7 (II-Q7), King’s Health Questionnaire (KHQ) and the SF-36 Questionnaire were used. Herein, 69 patients reported urinary incontinence (UI) and 67 reported symptoms of pelvic organ prolapse (POP). After the six months follow-up UI was found in 78 patients, 25 patients showed de novo symptoms, 65 patients reported POP and 10 patients demonstrated de novo POP. Our data show that urogynaecological symptoms are not correlated with the type of malignancy, but with the extensiveness of surgery.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Urogynaecological Symptoms among Oncological Survivors and Impact of Oncological Treatment on Pelvic Floor Disorders and Lower Urinary Tract Symptoms. A Six-Month Follow-Up Study

Ziętek-Strobl

Futyma

Kuna-Broniowska

et al. 2020

JCM

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“…A flowchart of how papers were selected is given in Figure . This revealed 35 papers that were included in the study . A further hand‐search of review article references included one additional paper .…”

Section: Resultsmentioning

confidence: 99%

A comparison of operative outcomes between standard and robotic laparoscopic surgery for endometrial cancer: A systematic review and meta‐analysis

Ind

Laios

Hacking

et al. 2017

Robotics Computer Surgery

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BackgroundEvidence has been systematically assessed comparing robotic with standard laparoscopy for treatment of endometrial cancer.MethodsA search of Medline, Embase and Cochrane databases was performed until 30th October 2016.ResultsThirty‐six papers including 33 retrospective studies, two matched case–control studies and one randomized controlled study were used in a meta‐analysis. Information from a further seven registry/database studies were assessed descriptively. There were no differences in the duration of surgery but days stay in hospital were shorter in the robotic arm (0.46 days, 95%CI 0.26 to 0.66). A robotic approach had less blood loss (57.74 mL, 95%CI 38.29 to 77.20), less conversions to laparotomy (RR = 0.41, 95%CI 0.29 to 0.59), and less overall complications (RR = 0.82, 95%CI 0.72 to 0.93). A robotic approach had higher costs ($1746.20, 95%CI $63.37 to $3429.03).ConclusionA robotic approach has favourable clinical outcomes but is more expensive.

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“…adnexal surgeries, treatment of endometriosis, sacrocolpopexies, tubal reanastomosis, and oncological surgeries, including pelvic and para-aortic lymphadenectomies. [8][9][10][11][12][13] However, technological implementation in a surgical environment, especially when it involves several or many teams, with different levels of training and skills, is a great challenge and responsibility because patient safety can never be put at risk, otherwise the use of those tools should be strongly discouraged. Proctors in our hospital are designated by a multidisciplinary surgical committee.…”

Section: Introductionmentioning

confidence: 99%

Safety Model for the Introduction of Robotic Surgery in Gynecology

Gomes

Porto

Filho

et al. 2018

Rev Bras Ginecol Obstet

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Comparison of Perioperative and Oncologic Outcomes with Laparotomy, and Laparoscopic or Robotic Surgery for Women with Endometrial Cancer

Cited by 26 publications

References 16 publications

Urogynaecological Symptoms among Oncological Survivors and Impact of Oncological Treatment on Pelvic Floor Disorders and Lower Urinary Tract Symptoms. A Six-Month Follow-Up Study

Urogynaecological Symptoms among Oncological Survivors and Impact of Oncological Treatment on Pelvic Floor Disorders and Lower Urinary Tract Symptoms. A Six-Month Follow-Up Study

A comparison of operative outcomes between standard and robotic laparoscopic surgery for endometrial cancer: A systematic review and meta‐analysis

Safety Model for the Introduction of Robotic Surgery in Gynecology

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