The short-term treatment of robotic-assisted surgery versus laparoscopic surgery in endometrial cancer

Abstract

Objective The aim of this study was to compare short-term treatment between robotic-assisted versus laparoscopic surgery in patients with endometrial cancer, discuss the clinical advantages of robotic-assisted surgery in endometrial cancer. Methods The clinical data of 108 patients with endometrial from Jan. 2014 to Oct. 2017 in Gansu Provincial Hospital were retrospectively analyzed. There were 52 cases in robotic-assisted surgery group (RS) and 56 cases in laparoscopic surgery group (LS). Multivariable linear regressions were used to explore the difference between the RS and LS in terms of the operation time, estimated blood loss, length of hospital stay, lymph node counts. Multivariate Logistic regression model was used to evaluate the difference of transfer to ICU. Results In multivariable linear regressions, there was no significant difference in operative time, estimated blood loss, length of hospital stay (P>0.05). However, the counts of lymph node in RS were significant increased compared to LS (Coe.=13.25, 95%CI: 8.30-18.21, P 0.05). Conclusions Robotic-assisted surgery has a comparable clinical benefit as laparoscopic surgery and provides an advantage in lymph node dissection. Key words: Robotic-assisted surgery; Laparoscopic surgery; Endometrial cancer