Feasibility and Safety of Robotic Surgery for Gynecologic Cancers

Manchana, Tarinee; Sirisabya, Nakarin; Vasuratna, Apichai; Termrungruanglert, Wichai; Tresukosol, Damrong; Wisawasukmongchol, Wirach

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저자정보: Manchana, Tarinee (Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University) Sirisabya, Nakarin (Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University) Vasuratna, Apichai (Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University) Termrungruanglert, Wichai (Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University) Tresukosol, Damrong (Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University) Wisawasukmongchol, Wirach (Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제15권 제13호

발행연도: 2014.1

수록면: 5,359 - 5,364 (6page)

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Background: To determine surgical outcomes, perioperative complications, and patient outcomes in gynecologic cancer patients undergoing robotic surgery. Materials and Methods: Surgical outcomes, including docking time, total operative time, console time, estimated blood loss (EBL), conversion rate and perioperative complications were retrospectively reviewed in 30 gynecologic cancer patients undergoing robotic surgery. Patient outcomes included recovery time and patient satisfaction, as scored by a visual analogue scale (VAS) from 0-10. Results: The operations included 24 hysterectomies with pelvic lymphadenectomy (PLD) and/or para-aortic lymphadenectomy, four radical hysterectomies with PLD, and two radical trachelectomies with PLD. Mean docking time was $12.8{\pm}9.7min$, total operative time was $345.5{\pm}85.0min$, and console time was $281.9{\pm}78.6min$. These times were decreased in the second half of the cases. There was no conversion rate. Three intraoperative complications, including one external iliac artery injury, one bladder injury, and one massive bleeding requiring blood transfusion were reported. Postoperative complications occurred in eight patients, most were minor. Only one patient had port herniation that required reoperation. Mean hospital stay was $3.5{\pm}1.7days$, and recovery time was $14.2{\pm}8.1days$. Two-thirds of patients felt very satisfied and one-third felt satisfied; the mean satisfaction score was 9.4 +0.9. Two patients with stage III endometrial cancer developed isolated port site metastasis at five and 13 months postoperatively. Conclusions: Robotic surgery for gynecologic cancer appears to be feasible, with acceptable perioperative complication rate, fast recovery time and high patient satisfaction.

#Gynecologic cancer #minimally invasive surgery #robotic surgery

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Manchana, Tarinee

소속기관 Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Chulalongkorn University