Laparoscopic Surgery for Patients with Early Stage Endometrial Cancer

Adachi, Sosuke; Yahata, Tetsuro; Kudo, Ryuichi; Yamagishi, Yoko; Yamawaki, Kaoru; Suda, Kazuaki; Tamura, Ryo; Chihara, Makoto; Ishiguro, Takehiko; Minamikawa, Takahiro; Banzai, Chiaki; Nishino, Kazumi; Nishikawa, Nobumichi; Kashima, Katsunori; Enomoto, Takayuki

doi:10.5180/jsgoe.29.313

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Current Status Of and Problems With Mis For Patients With Endometrial Cancer1

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2022

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“…A point worth noting is that the rate of discrepancy between preoperative and postoperative staging varies between 6.8% and 41.2%. A high rate of upstaging has been reported at some medium-volume facilities (7)(8)(9)(10)(11)(12). Lymphadenectomy for low-risk disease was omitted from the Japanese treatment guidelines for neoplasms of the uterine corpus, which was updated by the Japan Society of Gynecologic Oncology (JSGO) in 2018.…”

Section: Current Status Of and Problems With Mis For Patients With Endometrial Cancermentioning

confidence: 99%

The current status of robotic surgery for endometrial cancer in Japan

Gota

Tomio

Kurose

et al. 2022

GHM

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The da Vinci ® surgical system (Intuitive Surgical Inc., Sunnyvale, CA, USA) was approved in 2009 by the Japanese Ministry of Health, Labor, and Welfare. In gynecology, robotic surgery for hysterectomy for benign indications and early-stage endometrial cancer has been covered by National Health Insurance since 2018. In a context where the da Vinci surgical system has prevailed in urology departments in Japan, gynecological robotic surgery has spread rapidly once it was covered by insurance. Although minimally invasive gynecologic surgery (minimally invasive surgery, or MIS) in Japan has a specific context, there are several problems with its safety, surgeon education, and cost in Japan. To maximize the many advantages of robotic surgery, its effectiveness needs to be carefully evaluated and this new technology needs to be safely incorporated in practice.

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