The role of robotic aortic lymphadenectomy in gynecological cancer: surgical and oncological outcome in a single institution experience.


BACKGROUND AND OBJECTIVE:This study aims to investigate the surgical outcomes observed in robotic transperitoneal aortic lymphadenectomy (AL) in gynecological cancer patients. METHODS:Retrospective data were collected and analyzed on 71 patients undergoing robotic surgical procedures for gynecological cancers, including transperitoneal AL, between December 2014 and February 2018 at the Catholic University of the Sacred Heart, Rome, Italy. RESULTS:Median age of the sample population was 50 years (range, 26-76 years). The median operative time was 210 minutes (range, 75-480 minutes), the median estimated blood loss was 50 ml (range, 20-300 ml). The number of para-aortic nodes removed was 12 (range, 7-43). In the whole series, 13 patients (18.3%) had at least one metastatic node. Overall, 10 patients (14.1%) experienced any grade early postoperative complications. Three patients experienced more than one complication. Three intraoperative complications occurred with two cases of vascular injury. Conversion to laparotomy was necessary for one patient (1.4%). CONCLUSIONS:The present study shows the safety and adequacy of robotic transperitoneal AL as surgical staging step for gynecological cancers in terms of perioperative and postoperative outcomes.


J Surg Oncol


Gallotta V,Federico A,Gaballa K,D'Indinosante M,Conte C,Giudice MT,Naldini A,Lodoli C,Rotolo S,Gallucci V,Tortorella L,Romanò B,Scambia G,Ferrandina G




Has Abstract


2019-03-01 00:00:00












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    journal_title:Journal of surgical oncology

    pub_type: 杂志文章


    authors: Burn I

    更新日期:1985-12-01 00:00:00

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    abstract:BACKGROUND AND OBJECTIVES:Sentinel lymph node biopsy (SLNB) is widely accepted as an excellent method in the management of early breast cancer in patients with clinically negative axillary lymph nodes. Since SLNB requires less traumatic surgery to the axilla than axillary lymph node dissection (ALND), it was assumed to...

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    authors: von Breitenbuch P,Piso P,Schlitt HJ

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    abstract::Laparoscopic resection of colon cancer became mired in controversy when it appeared that the technique might be associated with an increased risk of tumor recurrence within the surgical incisions. This was not a uniform finding among all surgeons, however, and other evidence suggested that this did not occur in experi...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章,评审


    authors: Young-Fadok TM

    更新日期:2007-12-15 00:00:00

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    abstract::A case of leiomyosarcoma of a Meckel's diverticulum, presenting as an acute appendicitis, is reported. The literature is reviewed with particular emphasis on current trends in the diagnosis and management of leiomyosarcomas of the small intestine. ...

    journal_title:Journal of surgical oncology

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    authors: Saadia R,Decker GA

    更新日期:1986-06-01 00:00:00

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    abstract:BACKGROUND:Studies for patients with pelvic chondrosarcomas are limited. This study determines the outcome of patients with pelvic chondrosarcomas, and whether there is any association with tumors' grade, type, stage, margins and pelvic location. MATERIALS AND METHODS:We retrospectively studied 215 patients with pelvi...

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    authors: Mavrogenis AF,Angelini A,Drago G,Merlino B,Ruggieri P

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    abstract:BACKGROUND AND OBJECTIVES:Total pelvic exenteration are performed in patients with locally advanced or recurrent pelvic malignances. Many patients have prolong hospital length of stay (LOS), but risk factors are not clearly identified. METHODS:From 2002 through 2012, 100 consecutive patients undergoing pelvic exentera...

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    authors: Guo Y,Chang E,Bozkurt M,Park M,Liu D,Fu JB

    更新日期:2018-03-01 00:00:00

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    pub_type: 杂志文章


    authors: Chaudhuri PK,Walker MJ,Beattie CW,Das Gupta TK

    更新日期:1985-02-01 00:00:00

  • Do surgical oncologists achieve lower rates of local-regional recurrence in node positive breast cancer treated with mastectomy alone?

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    authors: Latosinsky S,Bear HD

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    authors: Ogata Y,Murakami H,Sasatomi T,Ishibashi N,Mori S,Ushijima M,Akagi Y,Shirouzu K

    更新日期:2009-01-01 00:00:00

  • Preoperative assessment of tumor angiogenesis by vascular endothelial growth factor mRNA expression in homogenate samples of breast carcinoma: fine-needle aspirates vs. resection samples.

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    journal_title:Journal of surgical oncology

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    更新日期:1997-12-01 00:00:00

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    authors: Goldsweig HG,O'Sullivan M

    更新日期:1990-09-01 00:00:00

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    更新日期:2008-01-01 00:00:00

  • Free vascularized fibular grafting for reconstruction after tumor resection in the upper extremity.

    abstract:BACKGROUND:Limb salvage is viable in the majority of patients with malignant bone tumors, but especially in case of extensive tumors and bad soft tissue conditions, it is challenging in upper extremity. OBJECTIVES/METHOD:The clinical and radiological results of 21 patients, who had free vascularized fibular grafts (VF...

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    pub_type: 杂志文章


    authors: Gebert C,Hillmann A,Schwappach A,Hoffmann Ch,Hardes J,Kleinheinz J,Gosheger G

    更新日期:2006-08-01 00:00:00

  • Introduction: Role of palliative care for the surgical patient.

    abstract::Palliative care (PC) seeks to improve the quality of life for patients facing serious illness. Several oncology organizations have guidelines about PC, reflecting the need to integrate PC into standard oncology care. Many surgical patients do not receive PC despite the need for these services and established surgical ...

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    authors: Fahy BN

    更新日期:2019-07-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Neifeld JP,Terz JJ,Kaplan AM,Lawrence W Jr

    更新日期:1985-02-01 00:00:00

  • Wilms' tumor--treatment and results: a five-decade experience.

    abstract::During the past 53 years, 105 patients with Wilms' Tumor have been treated at the Children's Hospital of Buffalo. Prospective and retrospective staging of these cases has allowed comparison with other reported series. All-stage survival improved from 37% with operation alone to 46% with operation and planned radiother...

    journal_title:Journal of surgical oncology

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    authors: Allen JE,Brecher MJ,Karp MP,Cooney DR,Jewett TC Jr

    更新日期:1985-12-01 00:00:00

  • Endobronchial metastases from soft tissue sarcoma.

    abstract::The majority of patients with pulmonary metastases from primary soft tissue sarcomas have peripheral lesions that can be removed by wedge excision. A subset of these patients, however, present with, or develop, clinically significant endobronchial metastases. These patients require a preoperative evaluation that inclu...

    journal_title:Journal of surgical oncology

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    authors: Udelsman R,Roth JA,Lees D,Jelenich SE,Pass HI

    更新日期:1986-07-01 00:00:00

  • Can the ACS-NSQIP surgical risk calculator predict post-operative complications in patients undergoing flap reconstruction following soft tissue sarcoma resection?

    abstract:INTRODUCTION:The ACS-NSQIP surgical risk calculator is an open-access on-line tool that estimates the risk of adverse post-operative outcomes for a wide range of surgical procedures. Wide surgical resection of soft tissue sarcoma (STS) often requires complex reconstructive procedures that can be associated with relativ...

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    authors: Slump J,Ferguson PC,Wunder JS,Griffin A,Hoekstra HJ,Bagher S,Zhong T,Hofer SO,O'Neill AC

    更新日期:2016-10-01 00:00:00

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    abstract::We studied the effect of tumor size on monoclonal antibody (mAb) in a murine hepatic model. Intrasplenic injection of HT-29 LMM metastatic human colon cancer cell line reproducibility results in hepatic metastases formation in congenitally athymic mice. HT-29-15, a murine mAb of the IgG1 class reactive with the HT-29 ...

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    authors: Yoshida K,Rivoire ML,Divgi CR,Niedzwiechi D,Cohen AM,Sigurdson ER

    更新日期:1992-04-01 00:00:00

  • Stage II malignant melanoma: presentation of a prognostic model and an assessment of specific active immunotherapy in 1,273 patients.

    abstract::The ability to redefine risk factors and to predict prognosis in patients with malignant melanoma at the time they manifest nodal metastasis can be a benefit to the patient emotionally and to the physician therapeutically. A retrospective review of 1,273 patients with stage II malignant melanoma was performed at our i...

    journal_title:Journal of surgical oncology

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    authors: Slingluff CL Jr,Vollmer R,Seigler HF

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  • A multicenter long-term study of imatinib treatment for Japanese patients with unresectable or recurrent gastrointestinal stromal tumors.

    abstract:BACKGROUND AND OBJECTIVES:This multicenter study, which was conducted in northern Kanto, Japan, aimed to assess the efficacy of imatinib mesylate against advanced or recurrent gastrointestinal stromal tumors (GIST). METHODS:The clinicopathological data of 234 GIST patients who were treated at one of the 11 participati...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章,多中心研究


    authors: Ogata K,Mochiki E,Ojima H,Haga N,Fukuchi M,Aihara R,Ando H,Uchida N,Toyomasu Y,Suzuki M,Kimura A,Kogure N,Yokobori T,Ohno T,Kuwano H

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    abstract::Eighty-nine breast cancer patients were studied for the end result of therapy. During surgery, the anaesthesia administered was either halothane (61 cases) or ether (28 cases) mixture with nitrogen and oxygen. The holstead method for mastectomy was used for all cases. The results showed that the type of anaesthesia in...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章


    authors: Alsabti E

    更新日期:1979-01-01 00:00:00

  • Primary carcinoma of the gallbladder in Taiwan.

    abstract::To define more precisely the prognostic index for patients with primary carcinoma of the gallbladder in Taiwan, we retrospectively reviewed the data of 74 patients with gallbladder carcinoma treated over a period of 15 years, from 1979 to 1993. Of these patients, 75% had Nevin stage V gallbladder cancer. The most comm...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章


    authors: Chao TC,Wang CS,Jeng LB,Jan YY,Chen MF

    更新日期:1996-01-01 00:00:00

  • The role of preoperative ultrasound scan in detecting lymph node metastasis before sentinel node biopsy in melanoma patients.

    abstract:BACKGROUND AND OBJECTIVES:To evaluate the efficacy of preoperative ultrasound (US) scanning in identifying lymph node metastasis before sentinel node biopsy (SNB), we conducted a prospective study on 125 patients with primary cutaneous melanoma (CM). METHODS:We prospectively enrolled 125 patients with >1 mm thick CM a...

    journal_title:Journal of surgical oncology

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    authors: Rossi CR,Mocellin S,Scagnet B,Foletto M,Vecchiato A,Pilati P,Tregnaghi A,Zavagno G,Stramare R,Rubaltelli L,Montesco C,Borsato S,Rubello D,Lise M

    更新日期:2003-06-01 00:00:00

  • Complications and survival associated with operative procedures in patients with unresectable pancreatic head adenocarcinoma.

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    journal_title:Journal of surgical oncology

    pub_type: 杂志文章


    authors: Spanheimer PM,Cyr AR,Liao J,Johlin FC,Hoshi H,Howe JR,Mezhir JJ

    更新日期:2014-06-01 00:00:00

  • Isolated limb infusion as a model to test new agents to treat metastatic melanoma.

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    journal_title:Journal of surgical oncology

    pub_type: 杂志文章,评审


    authors: Lidsky ME,Speicher PJ,Jiang B,Tsutsui M,Tyler DS

    更新日期:2014-03-01 00:00:00

  • Nonsteroid antiinflammatory drugs and tamoxifen for desmoid tumors and carcinoma of the stomach.

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    journal_title:Journal of surgical oncology

    pub_type: 杂志文章


    authors: Waddell WR,Gerner RE,Reich MP

    更新日期:1983-03-01 00:00:00

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    journal_title:Journal of surgical oncology

    pub_type: 杂志文章


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    journal_title:Journal of surgical oncology

    pub_type: 杂志文章


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    更新日期:1998-05-01 00:00:00