Robotic single site radical hysterectomy plus pelvic lymphadenectomy in gynecological cancers

Enrico Vizza; Benito Chiofalo; Giuseppe Cutillo; Emanuela Mancini; Ermelinda Baiocco; Ashanti Zampa; Arabella Bufalo; Giacomo Corrado

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자료유형: 학술저널

저자정보: Enrico Vizza (Regina Elena National Cancer Institute) Benito Chiofalo (Regina Elena National Cancer Institute) Giuseppe Cutillo (Regina Elena National Cancer Institute) Emanuela Mancini (Regina Elena National Cancer Institute) Ermelinda Baiocco (Regina Elena National Cancer Institute) Ashanti Zampa Arabella Bufalo Giacomo Corrado

저널정보: 대한부인종양학회 Journal of Gynecologic Oncology Journal of Gynecologic Oncology Vol.29 No.1

발행연도: 2018.1

수록면: 1 - 10 (10page)

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Objective: To evaluate the feasibility and the safety of robotic single-site radical hysterectomy (RSSRH) plus pelvic lymphadenectomy (PL) in endometrial or cervical cancer. Methods: Patients with endometrial cancer (EC) International Federation of Gynecology and Obstetrics (FIGO) stage II, early cervical cancer (ECC) FIGO stage IB1 or locally advanced cervical cancer (LACC) FIGO stage IB2–IIB with clinical response ≥50% after neo-adjuvant chemotherapy (NACT) were enrolled in a prospective cohort trial. All cases were performed using the da Vinci Si Surgical Single Site System®. Results: Between April 2014 and November 2016, twenty patients were included in our pilot study. Three and 17 patients underwent type B1 or C1 RSSRH plus PL, respectively. The median age of patients was 46 years (range, 36–68 years) and the median body mass index was 23.5 kg/m2 (range, 19.1–36.3 kg/m2). The median total operative time was 190 minutes (range, 90–310 minutes). The median blood loss was 75 mL (range, 20–700 mL) and the median number of pelvic lymph nodes removed was 16 (range, 5–27). No laparoscopic/laparotomic conversions were reported and the median time to discharge was 6 days (range, 4–16 days). No intra-operative complications occurred while 4 (20%) post-operative complications were reported: one pelvic abscess, one lymphorrea, one bowel perforation, and one vaginal dehiscence. Conclusion: RSSRH plus PL is technically feasible in patients affected by gynecological cancer.

참고문헌 (27)

참고문헌 신청

Pellegrino A / 2009 / Total laparoscopic radical hysterectomy and pelvic lymphadenectomy in patients with Ib1 stage cervical cancer: analysis of surgical and oncological outcome / Eur J Surg Oncol 35:98~103

Vizza E / 2011 / Total laparoscopic radical hysterectomy and pelvic lymphadenectomy in locally advanced stage IB2-IIB cervical cancer patients after neoadjuvant chemotherapy / Eur J Surg Oncol 37:364~369

Li G / 2007 / A comparison of laparoscopic radical hysterectomy and pelvic lymphadenectomy and laparotomy in the treatment of Ib-IIa cervical cancer / Gynecol Oncol 105:176~180

Park DA / 2017 / Surgical and clinical safety and effectiveness of robot-assisted laparoscopic hysterectomy compared to conventional laparoscopy and laparotomy for cervical cancer: a systematic review and meta-analysis / Eur J Surg Oncol 43:994~1002

Corrado G / 2016 / Robotic hysterectomy in severely obese patients with endometrial cancer: a multicenter study / J Minim Invasive Gynecol 23:94~100

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