Robotic Surgery in Endometrial Cancer

AbstractPurpose of ReviewThe number of minimal invasive gynecological oncological operations performed especially for endometrial cancer is increasing rapidly parallel with the increase in robotic systems in hospitals. This paper focuses on evaluating the studies comparing robotic surgery with laparoscopic and open surgery in patients with endometrial cancer in light of current literature.Recent FindingsWhen the current literature is examined, it is seen that the results of robotic surgery have similar results to laparoscopy such as length of hospital stay, postoperative pain, recovery in a short time, and less blood vessels, and they are disadvantageous in terms of cost compared with laparoscopy. When compared with laparotomy, it is emphasized that there is no difference in terms of intraoperative oncologic surgery results and it is a method that can be chosen as a minimally invasive surgery option especially in obese patients because of its ergonomics.SummaryAlthough there is no randomized controlled study comparing the results of laparoscopic and open surgery with robotic surgery, retrospective data suggests that perioperative morbidity in robotic surgery is less and improves in terms of intraoperative surgical outcomes. As with benign gynecological procedures, randomized controlled trials are needed to identify patients who may benefit from robotic surgery and to better define clinical outcomes. It should be noted that randomized controlled trials comparing surgical and r...
Source: Current Obstetrics and Gynecology Reports - Category: OBGYN Source Type: research

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Conclusions: Between January and December 2018, 33 patients underwent surgery between two units. Indications for surgery included dysfunctional uterine bleeding, endometrial hyperplasia, pelvic pain, post-menopausal bleeding, prophylactic surgery in BRCA positive patients and one grade 1 stage 1 endometrial cancer in whom laparoscopic hysterectomy was technically difficult and complicated by previous midline laparotomy. Ages ranged from 35-75 and BMI from 20-53.Mean operation time was 68.5 minutes and mean blood loss intraoperatively was 269mls. 15.2% (n = 5) had a blood loss equal or more than 500&thi...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
CONCLUSIONS: Our review provides insight into the experience of EC survivors from the patient perspective. Factors that contribute to QOL, such as pain, fatigue, emotional and social functioning, should be monitored following an EC diagnosis. PMID: 29150143 [PubMed - as supplied by publisher]
Source: Gynecologic Oncology - Category: Cancer & Oncology Authors: Tags: Gynecol Oncol Source Type: research
This study has been limited for interpretation due to its small sample size and not being the primary focus of the original study.Coronal view showing bilateral polycystic ovaries.A more recent study compared separately the risk of PCOS and its relations to endometrial, ovarian, and breast cancers, which originally showed on analysis that ovarian cancer was not significant (OR 1.41;95% CI,0.93-2.15 p
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
The most common cancer of the reproductive organs in American women is endometrial cancer. The American Cancer Society estimates that for the year 2017, around 61,380 new cases of cancer of the body of the uterus will be diagnosed and about 10,920 women will die from cancers of the uterine body. These figures include both endometrial cancers and uterine sarcomas. Since endometrial cancer is a fairly common cancer in women, the more women know the facts about this disease, the greater their chance of knowing what symptoms to be aware of in order to have it diagnosed as early as possible, improving the likelihood of surviva...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
DiscussionPolycystic ovary syndrome (PCOS) affects 6-8% of reproductive-age women making it the most common endocrinopathy in this age group. There is no consensus on the specific diagnostic criteria for PCOS in adolescents as many of the characteristics overlap with normal adolescent physiology. However, patients should have evidence of hyperandrogenism, oligo- or amenorrhea, and potentially polycystic ovaries. PCOS has a genetic component although a specific gene has not been identified. Incidence of PCOS is 20-40% for a woman with a family history. Hyperandrogenism Androgen levels change during puberty therefore actual ...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
The objective of the current study was to evaluate the use of analgesia in the post-operative period following robotic surgery for endometrial cancer. METHODS: All consecutive patients who underwent robotic surgery for the treatment of endometrial cancer were included in this study. The timing, dose, and type of analgesics administered postoperatively were recorded from patients' electronic medical record. Data was compared to a matched historical cohort of patients who underwent laparotomy before the introduction of the robotic program. RESULTS: Only eight patients (2.4%, 5 during the first 25 cases and 3 follow...
Source: Gynecologic Oncology - Category: Cancer & Oncology Authors: Tags: Gynecol Oncol Source Type: research
CONCLUSIONS: PCOS patients markedly suffer from sexual dysfunction and therefore it seems appropriate to be screened for intervention. Poor mental health conditions that may be the result of infertility or other complications of PCOS should also be considered as curable causes of sexual dysfunction in these patients. PMID: 27644611 [PubMed - in process]
Source: Asian Pacific Journal of Cancer Prevention - Category: Cancer & Oncology Tags: Asian Pac J Cancer Prev Source Type: research
Publication date: Available online 20 August 2016 Source:Journal of the Chinese Medical Association Author(s): Sen-Wen Teng, Huann-Cheng Horng, Chi-Hong Ho, Ming-Shyen Yen, Hsiang-Tai Chao, Peng-Hui Wang Endometriosis, defined by the presence of viable extrauterine endometrial glands and stroma, can grow or bleed cyclically, and possesses characteristics including a destructive, invasive, and metastatic nature. Since endometriosis may result in pelvic inflammation, adhesion, chronic pain, and infertility, and can progress to biologically malignant tumors, it is a long-term major health issue in women of reproductive age. ...
Source: Journal of the Chinese Medical Association - Category: Journals (General) Source Type: research
THE CHALLENGES OF PROVIDING SAFE AND EFFECTIVE pain management for patients with obesity are present throughout the perioperative setting. Obesity is associated with chronic medical comorbidities, such as coronary artery disease, stroke, chronic kidney disease, nonalcoholic fatty liver disease, and type 2 diabetes.1 Other obesity-associated comorbidities include breast, endometrial, ovarian, colorectal, esophageal, kidney, pancreatic, and prostate cancers, chronic back pain, and osteoarthritis.1 The demand for bariatric surgery has risen markedly in recent years with the total number of surgeries performed in the United St...
Source: Journal of PeriAnesthesia Nursing - Category: Nursing Authors: Tags: Pain Care Source Type: research
By Stacy Simon RESOURCES: Visit the American Cancer Society's new Cancer Statistics Center. Annual statistics reporting from the American Cancer Society shows the death rate from cancer in the US has declined steadily over the past 2 decades. The cancer death rate for men and women combined fell 23% from its peak in 1991 to 2012, the most recent year for which data is available, translating to more than 1.7 million deaths averted during this time period. “Cancer Statistics, 2016,” published in the American Cancer Society’s journal CA: A Cancer Journal for Clinicians, estimates the numbers of new can...
Source: American Cancer Society :: News and Features - Category: Cancer & Oncology Tags: General Information Source Type: news
More News: Cancer | Cancer & Oncology | Eating Disorders & Weight Management | Endometrial Cancer | Hospitals | Laparoscopy | Laparotomy | Minimally Invasive Surgery | Obesity | OBGYN | Pain | Study