Robotic Versus Laparoscopic Staging for Early Ovarian Cancer: A Case Matched Control Study

Anna Fagotti, Giovanni Scambia, Maria Gabriella Ferrandina, Valerio Gallotta, Carmine Conte, Giuseppe Vizzielli, Marco Petrillo, Barbara Costantini, Vito Chiantera

Risultato della ricerca: Contributo in rivistaArticolo in rivista

20 Citazioni (Scopus)

Abstract

STUDY OBJECTIVE: This study aims to evaluate the feasibility, surgical outcome and oncological results observed after robotic staging compared to conventional laparoscopic staging for patients with early-stage ovarian cancer (EOC) patients. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: Catholic University of the Sacred Hearth, Rome, Italy. PATIENTS: 96 patients underwent minimally invasive staging for presumed stage I ovarian cancer: 32 underwent robotic approach (Cases), and 64 underwent laparoscopic approach (Controls). MEASURE: ments and Results: There was no statistically significant difference between the two approaches with regard to final FIGO stage, histology and grade of tumors. In the whole series 15 patients (15.6%) were upstaged, with no statistically significant difference between the two groups. Median number of pelvic lymph nodes removed was 14 (range 3-42) and 11 (range 2-29) in the robotic and laparoscopic group (p value= 0.235), respectively. Median number of aortic lymph nodes removed was 11 (range 3-26) and 12 (range 1-39) in the robotic and laparoscopic group (p value= 0.263), respectively. Operative time was significantly shorter in the robotic group compared to the laparoscopic group (p value= 0.043), while the amount of estimated blood loss was similar (p value= 0.691). No difference was found in terms of early and postoperative complications. Overall, 72 patients were considered as requiring adjuvant treatment. Two patients experienced peritoneal recurrence. CONCLUSIONS: The present study suggests that there is no relevant difference between robotic and laparoscopic approach in staging EOC. Further prospective trials are needed to confirm our results.
Lingua originaleEnglish
pagine (da-a)293-298
Numero di pagine6
RivistaJournal of Minimally Invasive Gynecology
DOI
Stato di pubblicazionePubblicato - 2016

Keywords

  • early ovarian cancer
  • laparoscopy
  • robotic surgery

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