Safety of robotic-assisted gynecologic surgery and early hospital discharge in elderly patients

Madden, Nigel; Frey, M.K.; Lee, Jessica; Musselman, K.; Chern, Jing-Yi; Joo, LiJin; Blank, Stephanie V.; Pothuri, Bhavana

doi:10.1016/j.ygyno.2017.03.403

Cited by 5 publications

(7 citation statements)

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“…Furthermore, MIS has shown good results in terms of lower complication rates and faster recovery times. Our series confirmed that MIS is associated with good post-operative results, with clinical benefits in terms of post-operative complications ( 29 ). When compared with laparotomic surgery in EC patients aged 70 years or older, RS showed a reduction of EBL, OT, complications and days of hospitalization ( 5 , 9 ).…”

Section: Discussionsupporting

confidence: 82%

Comparison Between Laparoscopic and Robotic Surgery in Elderly Patients With Endometrial Cancer: A Retrospective Multicentric Study

Corrado

Vizza²,

Perrone

et al. 2021

Front. Oncol.

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IntroductionElderly endometrial cancer (EEC) patients represent a challenging clinical situation because of the increasing number of clinical morbidities. In this setting of patients, minimally invasive surgery (MIS) has been shown to improve surgical and clinical outcomes. The aim of this study was to evaluate the peri-operative and oncological outcomes of EEC patients who had undergone laparoscopic (LS) or robotic surgery (RS).Materials and MethodsThis is a retrospective multi-institutional study in which endometrial cancer patients of 70 years or older who had undergone MIS for EC from April 2002 to October 2018 were considered. Owing to the non-randomized nature of the study design and the possible allocation biases arising from the retrospective comparison between LS and RS groups, we also performed a propensity score-matched analysis (PSMA).ResultsA total of 537 patients with EC were included in the study: 346 who underwent LS and 191 who underwent RS. No significant statistical differences were found between the two groups in terms of surgical and survival outcomes. 188 were analyzed after PSMA (94 patients in the LS group were matched with 94 patients in the RS group). The median estimated blood loss was higher in the LS group (p=0.001) and the median operative time was higher in the RS group (p=0.0003). No differences emerged between LS and RS in terms of disease free survival (DFS) (p=0.890) and overall survival (OS) (p=0.683).ConclusionsOur study showed that when compared LS and RS, RS showed lower blood losses and higher operative times. However, none of the two approaches demonstrated to be superior in terms of survival outcomes. For this reason, each patient should be evaluated individually to determine the best surgical approach.

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Section: Discussionsupporting

confidence: 82%

Comparison Between Laparoscopic and Robotic Surgery in Elderly Patients With Endometrial Cancer: A Retrospective Multicentric Study

Corrado

Vizza²,

Perrone

et al. 2021

Front. Oncol.

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“…Same-day discharge may be another costsaving procedure for RMIS. Several studies have found this safe and feasible for the majority of women undergoing minimally invasive surgery [35][36][37][38]. According to the literature, Enhanced Recovery After Surgery (ERAS) protocols decreased length of stay by 30% to 50% thereby lowering hospital costs [39].…”

Section: Discussionmentioning

confidence: 99%

Long term resource consequences of a nationwide introduction of robotic surgery for women with early stage endometrial cancer

Korsholm

Gyrd‐Hansen

Mogensen

et al. 2019

Gynecologic Oncology

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“…Prior studies on same-day discharge have focused on determining the safety, costeffectiveness and patient and surgical variables associated with SDD [6,8,[10][11][12][14][15]. In gynecologic surgery, the safety of SDD following MIS hysterectomy has been well-established with no difference in 30-day readmissions or complication rates.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with endometrial cancer tend to be older, have more co-morbidities, or have a higher expectation for staying in the hospital overnight [8,9]. Furthermore, patients undergoing minimally invasive hysterectomies for an oncologic diagnosis are even less likely to achieve SDD, although this trend is decreasing [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Improved Rates of Same-day Discharge in Patients Undergoing Surgery for Endometrial Cancer Following the COVID-19 Pandemic

Lees

Johnson²,

Donahue³

et al. 2022

Journal of Minimally Invasive Gynecology

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Safety of robotic-assisted gynecologic surgery and early hospital discharge in elderly patients

Cited by 5 publications

References 0 publications

Comparison Between Laparoscopic and Robotic Surgery in Elderly Patients With Endometrial Cancer: A Retrospective Multicentric Study

Comparison Between Laparoscopic and Robotic Surgery in Elderly Patients With Endometrial Cancer: A Retrospective Multicentric Study

Long term resource consequences of a nationwide introduction of robotic surgery for women with early stage endometrial cancer

Improved Rates of Same-day Discharge in Patients Undergoing Surgery for Endometrial Cancer Following the COVID-19 Pandemic

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