BGOG; Elderly; Endometrial cancer; Minimally-invasive surgery; Obese; Robot-assisted surgery; Adult; Aged; Aged, 80 and over; Belgium; Conversion to Open Surgery; Endometrial Neoplasms/mortality; Endometrial Neoplasms/pathology; Endometrial Neoplasms/surgery; Female; Humans; Hysterectomy/methods; Length of Stay/statistics & numerical data; Middle Aged; Neoplasm Staging; Obesity/complications; Retrospective Studies; Robotic Surgical Procedures/methods; Survival Rate; Endometrial Neoplasms; Hysterectomy; Length of Stay; Obesity; Robotic Surgical Procedures; Surgery; Oncology; General Medicine
Abstract :
[en] [en] OBJECTIVE: To evaluate surgical and oncologic outcomes of patients treated by robot-assisted surgery for endometrial cancer within the Belgium Gynaecological Oncology Group (BGOG).
STUDY DESIGN: We performed a retrospective analysis of women with clinically Stage I endometrial cancer who underwent surgical treatment from 2007 to 2018 in five institutions of the BGOG group.
RESULTS: A total of 598 consecutive women were identified. The rate of conversion to laparotomy was low (0.8%). The mean postoperative Complication Common Comprehensive Index (CCI) score was 3.4. The rate of perioperative complications did not differ between age groups, however the disease-free survival was significantly lower in patients over 75 years compared to patients under 65 years of age (p=0.008). Per-operative complications, conversion to laparotomy rate, post-operative hospital stay, CCI score and disease-free survival were not impacted by increasing BMI.
CONCLUSION: Robot-assisted surgery for the surgical treatment of patients suffering from early-stage endometrial cancer is associated with favourable surgical and oncologic outcomes, particularly for unfavourable groups such as elderly and obese women, thus permitting a low morbidity minimally-invasive surgical approach for the majority of patients in expert centres.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
Kakkos, Athanasios ; Centre Hospitalier Universitaire de Liège - CHU > > Service de gynécologie-obstétrique
Ver Eecke, C; Division of Gynaecological Oncology, Department of Obstetrics and Gynaecology, Leuven Cancer Institute, Catholic University of Leuven, Leuven, Belgium
ONGARO, Sarah ; Centre Hospitalier Universitaire de Liège - CHU > > Service de gynécologie-obstétrique
Traen, K; Department of Obstetrics and Gynaecology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
Peeters, F; Department of Obstetrics and Gynaecology, General Hospital Klina, Brasschaat, Belgium
Van Trappen, Ph; Department of Obstetrics and Gynaecology, General Hospital Sint-Jan, Bruges, Belgium
Laenen, A; Department of Biostatistics and Methodology, Catholic University of Leuven, Leuven, Belgium
Despierre, E; Department of Obstetrics and Gynaecology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
Van Nieuwenhuysen, E; Division of Gynaecological Oncology, Department of Obstetrics and Gynaecology, Leuven Cancer Institute, Catholic University of Leuven, Leuven, Belgium
Vergote, I; Division of Gynaecological Oncology, Department of Obstetrics and Gynaecology, Leuven Cancer Institute, Catholic University of Leuven, Leuven, Belgium
Goffin, Frédéric ; Centre Hospitalier Universitaire de Liège - CHU > > Service de gynécologie-obstétrique (CHR)
Language :
English
Title :
Robot-assisted surgery for women with endometrial cancer: Surgical and oncologic outcomes within a Belgium gynaecological oncology group cohort.
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