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Comparison of perioperative outcomes and cost between robotic-assisted and conventional laparoscopy for transperitoneal infrarenal para-aortic lymphadenectomy (TIPAL).

Abstract：

STUDY OBJECTIVE:To compare perioperative outcomes and cost of robotic-assisted and laparoscopic transperitoneal infrarenal para-aortic lymphadenectomy (TIPAL) for treatment of gynecologic malignant conditions. DESIGN:Prospective non-randomized study (Canadian Task Force classification II-2). SETTING:Tertiary center for women's health. PATIENTS:Sixty-two patients with gynecologic cancer operated on by the same surgical team. INTERVENTIONS:Thirty-two patients underwent TIPAL via robotic-assisted laparoscopy, and 30 via conventional laparoscopy. Comparison analyses of perioperative outcomes and estimated costs were performed. MEASUREMENTS AND MAIN RESULTS:There were no differences between robotic-assisted and laparoscopy insofar as age, body mass index, presurgical morbidity, operating time (92.5 minutes for robotics vs 96.6 minutes for laparoscopy), number of aortic nodes (12 vs. 12), hospitalization stay (2 vs. 2 days), or rate of complications (12.5% vs. 13.3%). Blood loss tended to be lower in the robotic group (75.0 vs. 92.5 mL; p = .08). Surgical cost was higher in the robotic group ($3.42 vs. $2.55; p < .001), although hospitalization cost was similar. CONCLUSION:Robotic-assisted and laparoscopy provide similar perioperative outcomes. However, the robotic-assisted approach is associated with higher surgical cost.

journal_name

J Minim Invasive Gynecol

journal_title

Journal of minimally invasive gynecology

authors

Coronado PJ,Fasero M,Magrina JF,Herraiz MA,Vidart JA

doi

10.1016/j.jmig.2014.01.023

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

674-81

issue

4

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(14)00053-3

journal_volume

21

pub_type

临床试验,杂志文章

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