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. Author manuscript; available in PMC: 2017 Aug 30.
Published in final edited form as: Clin Obstet Gynecol. 2017 Jun;60(2):330–348. doi: 10.1097/GRF.0000000000000286

TABLE 2.

Selected Publications on Laparoscopy and Robotic Surgery in Endometrial Cancer

References No. Patients Findings
Gehrig et al34 49 RA-TLH
32 TLH
Examined outcomes in morbidly obese patients
Robotic group had shorter OR time, lower EBL, LOS, and increase LN counts when compared with laparoscopy group
Walker et al2,4 920 TAH
1696 TLH
Landmark RCT demonstrated superiority of laparoscopy over laparotomy in endometrial cancer staging
TLH lower EBL, LOS, and fewer postoperative complications
Recurrence and 5-year survival rates similar to laparotomy
Gaia et al30 606 TAH
396 TLH
589 RA-TLH
Systematic review of 8 studies
RA-TLH lower EBL than TLH but otherwise 2 approaches have similar
Complication rates similar across all 3 approaches
Chan et al35 567 TAH
98 TLH
422 RA-TLH
Analysis using National Inpatient Sample
Complication rates TAH 23%, TLH 13%, and RA-TLH 8%
TLH and RA-TLH had fewer complications and shorter LOS than laparotomy patients
Robotics more expensive than laparoscopy

EBL indicates estimated blood loss; LN, lymph node; LOS, length of stay; RA-TLH, robotic-assisted hysterectomy; RCT, randomized controlled trial; TAH, total abdominal hysterectomy; TLH, total laparoscopic hysterectomy.