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タイトル: 子宮体癌IA期に対するロボット支援下手術の手術成績に関する後方視的検討
その他のタイトル: Surgical outcomes of robotic-assisted surgery in endometrial cancer: comparison with laparoscopic surgery and laparotomy
著者: 千草, 義継  kyouindb  KAKEN_id  orcid https://orcid.org/0000-0001-9629-5912 (unconfirmed)
兪, 沙英  KAKEN_name
堀川, 直城  KAKEN_name
岡本, 葉留子  KAKEN_name
砂田, 真澄  kyouindb  KAKEN_id
浮田, 真沙世  KAKEN_name
山ノ井, 康二  kyouindb  KAKEN_id  orcid https://orcid.org/0000-0002-1240-5422 (unconfirmed)
山口, 建  KAKEN_name
堀江, 昭史  KAKEN_name
万代, 昌紀  KAKEN_name
著者名の別形: Chigusa, Yoshitsugu
Yu, Sae
Horikawa, Naoki
Okamoto, Haruko
Sunada, , Masumi
Ukita, Masayo
Yamanoi, Koji
Yamaguchi, Ken
Horie, Akihito
Mandai, Masaki
キーワード: endometrial cancer
laparoscopic surgery
robotic-assisted surgery
発行日: 2021
出版者: 日本産科婦人科内視鏡学会
誌名: 日本産科婦人科内視鏡学会雑誌
巻: 37
号: 2
開始ページ: 10
終了ページ: 15
抄録: Objective: This study aimed to analyze the surgical outcomes of robotic-assisted surgery for early-stage endometrial cancer compared with those of laparoscopic surgery and laparotomy. Methods: The clinical data and perioperative outcomes of stage IA endometrial cancer patients who underwent total hysterectomy, bilateral salpingo-oophrectomy, and pelvic lymphadenectomy by robotic-assisted surgery, laparoscopic surgery or laparotomy from January 2011 through December 2020 were reviewed and analyzed retrospectively. Results: A total of 122 patients were eligible (robotic-assisted surgery, n=24; laparoscopic surgery, n=72; laparotomy, n=26). The median operation time for robotic-assisted surgery was longer than that for laparoscopic surgery and laparotomy (P < 0.0001). Robotic-assisted surgery resulted in less blood loss (P < 0.0001) and a shorter postoperative stay (P < 0.001) than laparotomy but was not different from laparoscopic surgery. There was no difference in the number of lymph nodes retrieved among the three groups. Three (17%) robotic-assisted surgeries, 6 (8%) laparoscopic surgeries, and 3 (12%) laparotomies resulted in perioperative complications (P=0.47). Two patients who underwent laparoscopic surgery developed recurrence. Conclusions: Robotic-assisted surgery has similar surgical outcomes to laparoscopic surgery and offers a safe alternative in the surgical treatment of early-stage endometrial cancer, although the operative time may need to be shortened.
著作権等: © 2021 日本産科婦人科内視鏡学会
URI: http://hdl.handle.net/2433/291294
DOI(出版社版): 10.5180/jsgoe.37.2_10
出現コレクション:学術雑誌掲載論文等

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