Short- and long-term morbidity and outcomes after robotic surgery for comprehensive endometrial cancer staging.
Identifieur interne : 002243 ( PubMed/Curation ); précédent : 002242; suivant : 002244Short- and long-term morbidity and outcomes after robotic surgery for comprehensive endometrial cancer staging.
Auteurs : Floor J. Backes [États-Unis] ; Lorna A. Brudie ; M Ryan Farrell ; Sarfraz Ahmad ; Neil J. Finkler ; Glenn E. Bigsby ; David O'Malley ; David E. Cohn ; Robert W. Holloway ; Jeffrey M. FowlerSource :
- Gynecologic oncology [ 1095-6859 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Hystérectomie (), Hystérectomie (effets indésirables), Jeune adulte, Lymphadénectomie (), Lymphadénectomie (effets indésirables), Morbidité, Procédures de chirurgie gynécologique (), Procédures de chirurgie gynécologique (effets indésirables), Robotique (), Résultat thérapeutique, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'endomètre (), Tumeurs de l'endomètre (anatomopathologie), Études de cohortes, Études rétrospectives.
- MESH :
- anatomopathologie : Tumeurs de l'endomètre.
- effets indésirables : Hystérectomie, Lymphadénectomie, Procédures de chirurgie gynécologique.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Hystérectomie, Jeune adulte, Lymphadénectomie, Morbidité, Procédures de chirurgie gynécologique, Robotique, Résultat thérapeutique, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'endomètre, Études de cohortes, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Cohort Studies, Endometrial Neoplasms (pathology), Endometrial Neoplasms (surgery), Female, Gynecologic Surgical Procedures (adverse effects), Gynecologic Surgical Procedures (methods), Humans, Hysterectomy (adverse effects), Hysterectomy (methods), Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Middle Aged, Morbidity, Neoplasm Staging, Retrospective Studies, Robotics (methods), Treatment Outcome, Young Adult.
- MESH :
- adverse effects : Gynecologic Surgical Procedures, Hysterectomy, Lymph Node Excision.
- methods : Gynecologic Surgical Procedures, Hysterectomy, Lymph Node Excision, Robotics.
- pathology : Endometrial Neoplasms.
- surgery : Endometrial Neoplasms.
- Adolescent, Adult, Aged, Aged, 80 and over, Cohort Studies, Female, Humans, Middle Aged, Morbidity, Neoplasm Staging, Retrospective Studies, Treatment Outcome, Young Adult.
Abstract
Although intra-operative and immediate postoperative complications of robotic surgery are relatively low, little is known about long-term morbidity. We set out to assess both short- and long-term morbidities after robotic surgery for endometrial cancer staging.
DOI: 10.1016/j.ygyno.2012.02.023
PubMed: 22387522
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Brudie</name></author><author><name sortKey="Farrell, M Ryan" sort="Farrell, M Ryan" uniqKey="Farrell M" first="M Ryan" last="Farrell">M Ryan Farrell</name></author><author><name sortKey="Ahmad, Sarfraz" sort="Ahmad, Sarfraz" uniqKey="Ahmad S" first="Sarfraz" last="Ahmad">Sarfraz Ahmad</name></author><author><name sortKey="Finkler, Neil J" sort="Finkler, Neil J" uniqKey="Finkler N" first="Neil J" last="Finkler">Neil J. Finkler</name></author><author><name sortKey="Bigsby, Glenn E" sort="Bigsby, Glenn E" uniqKey="Bigsby G" first="Glenn E" last="Bigsby">Glenn E. Bigsby</name></author><author><name sortKey="O Malley, David" sort="O Malley, David" uniqKey="O Malley D" first="David" last="O'Malley">David O'Malley</name></author><author><name sortKey="Cohn, David E" sort="Cohn, David E" uniqKey="Cohn D" first="David E" last="Cohn">David E. Cohn</name></author><author><name sortKey="Holloway, Robert W" sort="Holloway, Robert W" uniqKey="Holloway R" first="Robert W" last="Holloway">Robert W. 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Brudie</name></author><author><name sortKey="Farrell, M Ryan" sort="Farrell, M Ryan" uniqKey="Farrell M" first="M Ryan" last="Farrell">M Ryan Farrell</name></author><author><name sortKey="Ahmad, Sarfraz" sort="Ahmad, Sarfraz" uniqKey="Ahmad S" first="Sarfraz" last="Ahmad">Sarfraz Ahmad</name></author><author><name sortKey="Finkler, Neil J" sort="Finkler, Neil J" uniqKey="Finkler N" first="Neil J" last="Finkler">Neil J. Finkler</name></author><author><name sortKey="Bigsby, Glenn E" sort="Bigsby, Glenn E" uniqKey="Bigsby G" first="Glenn E" last="Bigsby">Glenn E. Bigsby</name></author><author><name sortKey="O Malley, David" sort="O Malley, David" uniqKey="O Malley D" first="David" last="O'Malley">David O'Malley</name></author><author><name sortKey="Cohn, David E" sort="Cohn, David E" uniqKey="Cohn D" first="David E" last="Cohn">David E. Cohn</name></author><author><name sortKey="Holloway, Robert W" sort="Holloway, Robert W" uniqKey="Holloway R" first="Robert W" last="Holloway">Robert W. Holloway</name></author><author><name sortKey="Fowler, Jeffrey M" sort="Fowler, Jeffrey M" uniqKey="Fowler J" first="Jeffrey M" last="Fowler">Jeffrey M. Fowler</name></author></analytic><series><title level="j">Gynecologic oncology</title><idno type="eISSN">1095-6859</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Endometrial Neoplasms (pathology)</term><term>Endometrial Neoplasms (surgery)</term><term>Female</term><term>Gynecologic Surgical Procedures (adverse effects)</term><term>Gynecologic Surgical Procedures (methods)</term><term>Humans</term><term>Hysterectomy (adverse effects)</term><term>Hysterectomy (methods)</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Node Excision (methods)</term><term>Middle Aged</term><term>Morbidity</term><term>Neoplasm Staging</term><term>Retrospective Studies</term><term>Robotics (methods)</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Hystérectomie ()</term><term>Hystérectomie (effets indésirables)</term><term>Jeune adulte</term><term>Lymphadénectomie ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Morbidité</term><term>Procédures de chirurgie gynécologique ()</term><term>Procédures de chirurgie gynécologique (effets indésirables)</term><term>Robotique ()</term><term>Résultat thérapeutique</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'endomètre ()</term><term>Tumeurs de l'endomètre (anatomopathologie)</term><term>Études de cohortes</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Gynecologic Surgical Procedures</term><term>Hysterectomy</term><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs de l'endomètre</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Hystérectomie</term><term>Lymphadénectomie</term><term>Procédures de chirurgie gynécologique</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Gynecologic Surgical Procedures</term><term>Hysterectomy</term><term>Lymph Node Excision</term><term>Robotics</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Endometrial Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Endometrial Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Morbidity</term><term>Neoplasm Staging</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Hystérectomie</term><term>Jeune adulte</term><term>Lymphadénectomie</term><term>Morbidité</term><term>Procédures de chirurgie gynécologique</term><term>Robotique</term><term>Résultat thérapeutique</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'endomètre</term><term>Études de cohortes</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although intra-operative and immediate postoperative complications of robotic surgery are relatively low, little is known about long-term morbidity. We set out to assess both short- and long-term morbidities after robotic surgery for endometrial cancer staging.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22387522</PMID><DateCreated><Year>2012</Year><Month>05</Month><Day>21</Day></DateCreated><DateCompleted><Year>2012</Year><Month>07</Month><Day>30</Day></DateCompleted><DateRevised><Year>2013</Year><Month>02</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-6859</ISSN><JournalIssue CitedMedium="Internet"><Volume>125</Volume><Issue>3</Issue><PubDate><Year>2012</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Gynecologic oncology</Title><ISOAbbreviation>Gynecol. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Short- and long-term morbidity and outcomes after robotic surgery for comprehensive endometrial cancer staging.</ArticleTitle><Pagination><MedlinePgn>546-51</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ygyno.2012.02.023</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Although intra-operative and immediate postoperative complications of robotic surgery are relatively low, little is known about long-term morbidity. We set out to assess both short- and long-term morbidities after robotic surgery for endometrial cancer staging.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All patients who underwent robotic staging for EMCA between 2006 and 2009 from two institutions were identified. Patient charts were retrospectively reviewed for surgical complications and postoperative morbidities.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Five hundred three patients were identified. No differences in complication rates were found between 2006-2007 and 2008-2009, even though the median BMI increased from 29.9 (range 19-52) to 32 (range 17-70) (p=0.03). 6.4% of cases were converted to laparotomy. Median length of stay was one day (range 1-46). No cystotomies, two enterotomies, one ureteric injury, and five vessel injuries occurred (1.6% intra-operative complications). Thirty-eight (7.6%) patients developed major postoperative complications, 11 (2.2%) had wound infections, and 15 (3%) required a transfusion in the 30-day peri-operative period. The total venous thromboembolism (VTE) rate for robotic cases was 1.7%. Partial cuff dehiscence managed conservatively occurred in 5 (1%) and complete dehiscence requiring closure in 7 (1.4%) patients; Sixty-three (13.4%) patients who had robotic staging developed lymphedema, with 40 (8%) requiring physical therapy.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study provides one of the largest cohorts of patients with robotic-assisted hysterectomy and lymphadenectomy (in 92.6%) with an assessment of morbidity. Our data demonstrates that robotic surgical staging can be safely performed with a low risk of short-term complications and lymphedema is the most frequent long-term morbidity.</AbstractText><CopyrightInformation>Copyright © 2012 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Backes</LastName><ForeName>Floor J</ForeName><Initials>FJ</Initials><AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, OH 43210, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brudie</LastName><ForeName>Lorna A</ForeName><Initials>LA</Initials></Author><Author ValidYN="Y"><LastName>Farrell</LastName><ForeName>M Ryan</ForeName><Initials>MR</Initials></Author><Author ValidYN="Y"><LastName>Ahmad</LastName><ForeName>Sarfraz</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Finkler</LastName><ForeName>Neil J</ForeName><Initials>NJ</Initials></Author><Author ValidYN="Y"><LastName>Bigsby</LastName><ForeName>Glenn E</ForeName><Initials>GE</Initials></Author><Author ValidYN="Y"><LastName>O'Malley</LastName><ForeName>David</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Cohn</LastName><ForeName>David E</ForeName><Initials>DE</Initials></Author><Author ValidYN="Y"><LastName>Holloway</LastName><ForeName>Robert W</ForeName><Initials>RW</Initials></Author><Author ValidYN="Y"><LastName>Fowler</LastName><ForeName>Jeffrey M</ForeName><Initials>JM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>03</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Gynecol Oncol</MedlineTA><NlmUniqueID>0365304</NlmUniqueID><ISSNLinking>0090-8258</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Gynecol Oncol. 2013 Jan;128(1):148</RefSource><PMID Version="1">22885867</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Gynecol Oncol. 2013 Jan;128(1):147</RefSource><PMID Version="1">22841873</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016889" MajorTopicYN="N">Endometrial Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013509" MajorTopicYN="N">Gynecologic Surgical Procedures</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007044" MajorTopicYN="N">Hysterectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009017" MajorTopicYN="N">Morbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012371" MajorTopicYN="N">Robotics</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>01</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>02</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>02</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>3</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>3</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22387522</ArticleId><ArticleId IdType="pii">S0090-8258(12)00149-7</ArticleId><ArticleId IdType="doi">10.1016/j.ygyno.2012.02.023</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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