Journal
JOURNAL OF OBSTETRICS AND GYNAECOLOGY
Volume 33, Issue 7, Pages 720-724Publisher
TAYLOR & FRANCIS INC
DOI: 10.3109/01443615.2013.812623
Keywords
Cost analysis; endometrial carcinoma; laparoscopic surgery; robotic-assisted surgery; surgical techniques
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Surgical outcomes and costs of laparoscopic and robotic hysterectomy for the treatment of endometrial carcinoma were compared in a centre with lengthy experience with laparoscopic surgery. The robotic cohort (n = 67) had a longer operative time than the laparoscopic cohort (n = 150) (p < 0.0001). Lymph node yields were similar for both surgical modalities, but the median of estimated blood loss was lower in the robotic group (50 ml vs 100 ml; p < 0.0001). The proportion of patients with hospital stay >2 days and rate of overall complications were similar in both groups. Operative costs were (Euros) (sic)1,680 and (sic)3,860 for the laparoscopic and robotic procedure, respectively. We conclude that robotic technology is feasible but does not provide short-term benefits for the treatment of endometrial carcinoma in a centre where laparoscopy has been established as the standardised minimally invasive surgical method.
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