Archives of gynecology and obstetrics · 2014
Minimally invasive surgery for endometrial cancer: a comprehensive review.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
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Rabinovich Alex
Аннотация
PURPOSE OF REVIEW: The objective of this article is to review the recently published literature on the use of minimally invasive surgical approaches for patients with endometrial cancer.
METHODS: Narrative review of the pertinent literature on traditional laparoscopy and robotically assisted laparoscopy for the treatment of endometrial cancer.
RESULTS: Multiple studies have shown that minimally invasive surgical approaches for the treatment of endometrial cancer reduce blood loss, length of hospital stay and the incidence and severity of post-operative surgical complications compared with laparotomy. Minimally invasive techniques maintain equivalent oncologic results with regard to the number of dissected lymph nodes and overall and disease-free survival rates. Robotically assisted laparoscopy compared to traditional laparoscopy reduced the conversion rate to laparotomy, further reduces intra-operative blood lose and has significant ergonomic advantages for the surgeon. Laparoscopic and robotic surgery techniques are particularly advantageous in obese patients, reducing peri-operative and post-operative abdominal wound complications.
CONCLUSIONS: A thorough review of the literature indicates that minimally invasive approach has a number of established advantages over laparotomy that makes it the surgical treatment option of choice in endometrial carcinoma patients.
METHODS: Narrative review of the pertinent literature on traditional laparoscopy and robotically assisted laparoscopy for the treatment of endometrial cancer.
RESULTS: Multiple studies have shown that minimally invasive surgical approaches for the treatment of endometrial cancer reduce blood loss, length of hospital stay and the incidence and severity of post-operative surgical complications compared with laparotomy. Minimally invasive techniques maintain equivalent oncologic results with regard to the number of dissected lymph nodes and overall and disease-free survival rates. Robotically assisted laparoscopy compared to traditional laparoscopy reduced the conversion rate to laparotomy, further reduces intra-operative blood lose and has significant ergonomic advantages for the surgeon. Laparoscopic and robotic surgery techniques are particularly advantageous in obese patients, reducing peri-operative and post-operative abdominal wound complications.
CONCLUSIONS: A thorough review of the literature indicates that minimally invasive approach has a number of established advantages over laparotomy that makes it the surgical treatment option of choice in endometrial carcinoma patients.