Same-day discharge after robotic surgery for endometrial cancer

Zhang, Naixin; Wilson, Ben; Enty, Morgan A; Ketch, Peter; Ulm, Michael; ElNaggar, Adam C.; Daily, Laura; Tillmanns, Todd

doi:10.1007/s11701-021-01253-0

Cited by 9 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For malignant diseases, BMI (OR: 1.02; 95% CI: 1.01–1.02; I 2 = 0.0%; Figure 7A ) and surgery starting after 14:00 (OR: 15.84; 95% CI: 5.53–45.4; I 2 = 24.3%; Figure 7B ) were disadvantage factors for SDD. Hispanic people were more likely to leave hospital on the same day of surgery (OR: 0.65; 95% CI: 0.55–0.78; I 2 = 10.9%; Figure 7C ) ( 5 , 20 , 23 – 25 ). Age (OR: 1.07; 95% CI: 0.99–1.16; I 2 = 78.9%; Figure 8A ), race (Black or White) (OR: 1.26; 95% CI: 0.91 to 1.74; I 2 = 47.8%; Figure 8B ), smoking (OR: 1.03; 95% CI: 0.89–1.20; I 2 = 0.0%; Figure 8C ), heart disease (OR: 1.43; 95% CI: 0.64–3.21; I 2 = 0.0%; Figure 8D ), hypertension (OR: 1.53; 95% CI: 0.80–2.93; I 2 = 76.9%; Figure 8E ), ASA 2 (OR: 1.03; 95% CI: 0.68–1.56; I 2 = 64.3%; Figure 8F ), ASA 3 (OR: 1.27; 95% CI: 0.64–2.49; I 2 = 85.1%; Figure 8G ), ASA 4 (OR: 5.20; 95% CI: 0.44–61.97; I 2 = 79.0%; Figure 8H ), lymphadenectomy (OR: 1.70; 95% CI: 0.39–7.45; I 2 = 90.9%; Figure 8I ), and length of surgery (OR: 2.67; 95% CI: 0.31–23.14; I 2 = 87.7%; Figure 8J ) did not affect SDD.…”

Section: Resultsmentioning

confidence: 99%

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Liu,

Chen,

Tan

et al. 2024

Front. Oncol.

View full text Add to dashboard Cite

ObjectiveTo explore the factors influencing the successful implementation of same-day discharge in patients undergoing minimally invasive hysterectomy for malignant and non-malignant gynecological diseases.MethodWe searched PubMed, Embase, Cochrane Central Register of Controlled Trials, International Clinical Trials Registry Platform, and Clinical Trials.gov from inception to May 23, 2023. We included case-control and cohort studies published in English reporting same-day discharge factors in patients undergoing minimally invasive hysterectomy for malignant and non-malignant gynecological diseases. STATA 16.0 was used for the meta-analysis. Risk factors were assessed using odds ratios (OR) (relative risk (RR)/hazard ratios (HR)) with 95% confidence intervals (CI), and logistic regression determined the same-day discharge rate (%).ResultsWe analyzed 29 studies with 218192 patients scheduled for or meeting same-day discharge criteria. The pooled rates were 50% (95% CI 0.46-0.55), and were similar for malignant and non-malignant gynecological diseases (48% and 47%, respectively). In terms of basic characteristics, an increase in age (OR: 1.03; 95% CI: 1.01–1.05), BMI (OR: 1.02; 95% CI: 1.01–1.03), and comorbidities including diabetes and lung disease were risk factors affecting SDD, while previous abdominal surgery history (OR: 1.54; 95% CI: 0.93–2.55) and hypertension (OR: 1.53; 95% CI: 0.80–2.93) appeared not to affect SDD. In terms of surgical characteristics, radical hysterectomy (OR: 3.46; 95% CI: 1.90–6.29), surgery starting after 14:00 (OR: 4.07; 95% CI: 1.36–12.17), longer surgical time (OR: 1.03; 95% CI: 1.01–1.06), intraoperative complications (OR: 4.68; 95% CI: 1.78–12.27), postoperative complications (OR: 3.97; 95% CI: 1.68–9.39), and surgeon preference (OR: 4.47; 95% CI: 2.08–9.60) were identified as risk factors. However, robotic surgery (OR: 0.44; 95% CI: 0.14–1.42) and intraoperative blood loss (OR: 1.16; 95% CI: 0.98–1.38) did not affect same-day discharge.ConclusionsAn increase in age, body mass index, and distance to home; certain comorbidities (e.g., diabetes, lung disease), radical hysterectomy, surgery starting after 14:00, longer surgical time, operative complications, and surgeon preference were risk factors preventing same-day discharge. Same-day discharge rates were similar between malignant and non-malignant gynecological diseases. The surgery start time and body mass index have a greater impact on same-day discharge for malignant diseases than non-malignant diseases.

show abstract

Section: Resultsmentioning

confidence: 99%

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Liu,

Chen,

Tan

et al. 2024

Front. Oncol.

View full text Add to dashboard Cite

show abstract

“…Robot-assisted surgery is associated with early discharge because of the low frequency of postoperative pain. Naixin et al investigated the safety of same-day discharge of patients who underwent RA surgery for endometrial cancer [11]. They reported that over 80% of the patients were discharged on the day of surgery with several criteria met, including oral intake, ambulation, and postoperative Hb levels (decrease of 2 g/dL or less from baseline), and only 1.3% of the patients visited the emergency department within 30 days after surgery.…”

Section: Discussionmentioning

confidence: 99%

Outcome of robot-assisted surgery for stage IA endometrial cancer compared to open and laparoscopic surgeries: a retrospective study at a single institution

Ikebuchi,

Komatsu,

Yamamoto

et al. 2024

J Robotic Surg

View full text Add to dashboard Cite

BackgroundFew studies have compared the e cacy of robot-assisted, laparoscopic, and open surgeries for endometrial cancer. When considering the position of robotic surgery in Japan, it was necessary to determine whether it was effective or not. We aimed to compare the e cacy and safety of these three types of surgeries for early-stage endometrial cancer. MethodsIn total, 175 patients with endometrial cancer of preoperative stage IA, who had undergone laparotomic (n=80), laparoscopic (n=40), or robot-assisted (n=55) modi ed radical hysterectomy at our hospital from 2010 to 2022, were included; surgical outcomes, perioperative complications, and prognoses were compared. Total operative and console times for robot-assisted surgery between patients who did or did not undergo pelvic lymphadenectomy were assessed. ResultsThe robot-assisted group had the shortest total operative time. The estimated blood loss was lower in the laparoscopic and robot-assisted groups than in the laparotomy group. In advanced postoperative stage IA cases, there were no differences in progression-free and overall survival among the three groups. In the robot-assisted group, the operative time decreased as the number of operations increased; the learning curve was reached after 10 cases each of patients with and without pelvic lymphadenectomy. The frequency of perioperative complications of Clavien-Dindo classi cation Grade 1 or higher was the lowest in the robot-assisted group (p=0.02). There were no complications of Clavien-Dindo classi cation Grade 2 or higher in the robot-assisted group. ConclusionRobot-assisted surgery for stage IA endometrial cancer, a minimally invasive procedure, has fewer operative times and complications than those of laparoscopic and open surgeries in a single institution in JAPAN.Comprehensive Cancer Network Guidelines (2017) [4]. Compared with LA surgery, RA surgery has several

show abstract

“…For patients, minimally invasive surgery allows same-day discharge [14,15], and the increase in ambulatory surgery was due to the increase of robotic surgery [16]. The advantages of robotic surgery also extended its indications, such as single-port surgery, groin node dissection for vulvar cancer, cytoreduction for ovarian cancer.…”

Section: Changing the Paradigm In The Gynecology Treatment (Ka-yu Tse...mentioning

confidence: 99%

Asian Summit on Robotic Surgery 2022 gynecology tract meeting report

Wong

Chung

et al. 2023

Gyne Robot Surg

View full text Add to dashboard Cite

The second Asian Summit on Robotic Surgery (ASRS) was convened in Singapore, 12 November 2022. This meeting was well attended by speakers and participants from around the region. The Gynecology tract of the ASRS 2022 was supported by the Asian Society for Gynecology Robotic Surgery. Co-chaired by Dr. Jeslyn Wong of Singapore, and Dr. Hyewon Chung of South Korea, the Gynecology program saw experts share their experiences, tips and surgical pearls with enthusiastic participants from the region. This article summarizes the key topics that were discussed during the meeting.

show abstract

Same-day discharge after robotic surgery for endometrial cancer

Cited by 9 publications

References 22 publications

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Outcome of robot-assisted surgery for stage IA endometrial cancer compared to open and laparoscopic surgeries: a retrospective study at a single institution

Asian Summit on Robotic Surgery 2022 gynecology tract meeting report

Contact Info

Product

Resources

About