Premium
Comparison between single‐site and multiport robot‐assisted hysterectomy in obese patients with endometrial cancer: An Italian multi‐institutional study
Author(s) -
Corrado Giacomo,
Mereu Liliana,
Bogliolo Stefano,
Cela Vito,
Gardella Barbara,
Sperduti Isabella,
Certelli Camilla,
Pellegrini Alice,
Posar Giulia,
Zampa Ashanti,
Tateo Saverio,
Gadducci Angiolo,
Spinillo Arsenio,
Vizza Enrico
Publication year - 2020
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2066
Subject(s) - hysterectomy , endometrial cancer , body mass index , medicine , blood loss , retrospective cohort study , cancer , gynecology , urology , surgery
Background The aim of this study is to compare robotic single‐site hysterectomy (RSSH) and robotic multiport hysterectomy (RMPH) for endometrial cancer (EC) in obese patients in terms of surgical outcomes. Methods This retrospective study compares RSSH with RMPH in obese patients with EC and FIGO stages I to II divided in three classes according to their body mass index (BMI): class A (30‐34.9 kg/m 2 ), class B (35‐39.9 kg/m 2 ), and class C (>40 kg/m 2 ). Results We included 225 patients (RSSH: 76; RMPH: 149). The operative time and estimated blood loss (EBL) were lower in the A class of the RSSH group. The EBL and the conversion rate increased when the BMI increased in the RSSH group. The hospital stay was higher in the A class of the RMPH group. Conclusions The advantages of RSSH in terms of reduced invasiveness remain true only in the first BMI class, whereas they are lost when the BMI increased.