Table 3.
Studies concerning Multi-port (MP) Robotic surgery
| Authors, years | Type of study | Cases number |
Surgery | Stage | OT min |
Ebl ml |
Conversion rate |
HS day |
Complication number/type |
Outcomes | BMI median |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Corrado et al., 2018 | Retrospective multi-institutional study | 249 |
Hysterectomy, salpingo-oophorectomy, pelvic node dissection |
153 IA 58 IB 18 II 8 IIIA 2 IIIB 8 IIIC 2 IVB |
183 | 124 |
8 6 Laparoscopy: 3 hypercapnia, poor exposure, large uterus, difficulty to perform lymphadenectomy 2 Laparotomy: poor bowel exposure, bowel adhesion |
3.1 |
24 1 Hemoperitoneum, 1 urethrovaginal fistula Others cases not specified |
MP robotic surgery in severely obese women with endometrial cancer is feasible, safe, and reproducible |
36.3 |
| Yim et al., 2015 | Retrospective study | 112 |
Hysterectomy, salpingo-oophorectomy, pelvic node dissection |
97 I 7 II 8 III Not specified |
208 | 184 | 0 | 8.9 |
8 3 Vessel injury, 1 Febrile morbidity, 2 Pelvic cavity infection/hematoma, 1 Massive chyle ascites, 1 Wound infection |
MP robot-assisted laparoscopic surgery is a feasible approach in gynecology with acceptable complications | 23 |
| Al-Badawi et al., 2011 | Retrospective study | 12 | Hysterectomy, bilateral salpingo-oophorectomy with or without pelvic node dissection | Not specified | 156 | 177 |
1 1 Laparotomy: bleeding |
3.3 |
2 1 Post-operative bleeding, 1 supra-ventricular tachycardia |
MP robotic surgery is feasible and satisfactory to our Arabian patient population |
34 |
| Smith et al., 2012 | Retrospective study | 46 | Hysterectomy, bilateral salpingo-oophorectomy with or without pelvic node dissection | Not specified | 175 | 94 |
3 3 Laparotomy: 2 intact specimen extraction, bleeding |
1.3 |
2 1 Vascular injury, 1 deep vein thrombosis |
Incorporating fellow education into MP robotic surgery does not adversely affect outcomes when compared to traditional laparoscopic surgery |
30 |
| Holloway et al., 2012 | Retrospective study | 35 |
Hysterectomy, salpingo-oophorectomy, pelvic node dissection |
9 Low-risk 26 High-risk Not specified |
169 | 118 | 0 | 1.3 | 0 | Fluorescence imaging with indocyanine green detected bilateral sentinel lymph nodes more often than isosulfan blue | 33.1 |
| Ng et al., 2011 | Retrospective study | 17 |
Hysterectomy, salpingo-oophorectomy, with or without pelvic node dissection |
Not specified | 200 | – | 0 | – |
2 1 Vaginal cuff dehiscence, 1 bleeding |
MP robotic surgery is feasible and safe | – |
| Goel et al., 2011 | Retrospective study | 59 |
Hysterectomy, salpingo-oophorectomy, with or without pelvic and aortic node dissection |
18 IA 21 IB 12 II 2 III A 8 III C |
185 | 231 |
1 1 Laparotomy: injury to the external iliac vein |
1.3 |
2 1 Injury to the external iliac vein, 1 pelvic abscess |
MP robotic surgery is a useful minimally invasive tool for the comprehensive surgical staging |
39.3 |
| Peeters et al., 2011 | Prospective study | 171 | Hysterectomy, salpingo-oophorectomy, pelvic node dissection, with or without aortic node dissection |
122 I 16 II 24 III 3 IV 6 CAH |
49 (only operative time reported) |
87 |
6 6 Minilaparotomy: to remove the uterus |
1.4 |
4 4 wound complications |
Minor technical and surgical approaches were associated with low morbidity, and appears to benefit patients undergoing MP robotic surgery for gynaecologic cancers |
31.6 |
| Holloway et al., 2009 | Retrospective chart review | 100 | Hysterectomy, salpingo-oophorectomy, pelvic node dissection, with or without aortic node dissection |
79 I 7 II 14 III Not specified |
171 | 103 |
4 4 Laparotomy: 2 vena cava bleeding, large uterus, external iliac artery bleeding |
1.1 |
3 1 fever, 1 postoperative ileus, 1 respiratory failure |
Operative times decreased and aortic dissections improved with increasing Lymph nodes counts during the first 100 cases of MP robotic hysterectomy | 29 |
| Peiretti et al., 2009 | Prospective study | 80 |
Hysterectomy, salpingo-oophorectomy, with or without pelvic and aortic node dissection |
62 IA 9 IB 2 II 3 IIIA 1 IIIB 3 IIIC |
181 | 44 |
3 3 Laparotomy: 2 extensive adhesions, metastatic obturator node |
2.5 |
5 1 Bladder fistula, 3 vaginal cuff dehiscence, 1 small bowel obstruction |
MP robotic staging for early-stage endometrial cancer is feasible and safe | 25.2 |
OT operative time, HS hospital stay, Ebl estimated blood loss, MP multi port, BMI body mass index