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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 ![]() ![]() ![]() 兪, 沙英 ![]() 堀川, 直城 ![]() 岡本, 葉留子 ![]() 砂田, 真澄 ![]() ![]() 浮田, 真沙世 ![]() 山ノ井, 康二 ![]() ![]() ![]() 山口, 建 ![]() 堀江, 昭史 ![]() 万代, 昌紀 ![]() |
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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