Efficacy and Safety of Robotic Surgery in the Treatment of Endometrial Cancer: An Integrative Review
DOI:
https://doi.org/10.36557/2674-8169.2024v6n10p4427-4438Keywords:
Robotic surgery, Endometrial cancer, Gynecologic oncology.Abstract
This study examines the efficacy of robotic surgery for endometrial cancer, highlighting its advantages over conventional approaches, such as laparoscopy and laparotomy. Robotic surgery, a minimally invasive technique, offers greater precision and reduces postoperative complications, particularly for obese and elderly patients at higher risk with traditional procedures. Studies suggest that robotics can decrease hospital stay and blood loss, enabling faster recovery and improved quality of life. However, its high cost and increased readmission rates are limiting factors. A review of 6 studies, selected from a systematic search of 65 articles, showed that robotic surgery enhances long-term cancer control, yielding comparable outcomes to laparoscopy and superior to laparotomy for survival rates. It concludes that while robotic surgery provides clear clinical benefits and is a viable option for at-risk populations, its cost requires careful assessment for widespread implementation in healthcare systems.
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References
BUSH, S. H.; APTE, S. M. Cirurgia assistida por robótica em oncologia ginecológica. Controle do câncer, v. 22, n. 3, p. 307-13, 2015.
FU, H.; ZHANG, J.; ZHAO, S.; HE, N. Survival outcomes of robotic-assisted laparoscopy versus conventional laparoscopy and laparotomy for endometrial cancer: A systematic review and meta-analysis. Gynecologic Oncology, v. 174, p. 55-67, 2023.
GALA, R. B.; MARGULIES, R.; STEINBERG, A.; MURPHY, M.; LUKBAN, J.; JEPPSON, P.; ASCHKENAZI, S.; OLIVERA, C.; SOUTH, M.; LOWENSTEIN, L.; SCHAFFER, J.; BALK, E. M.; SUNG, V.; SOCIETY OF GYNECOLOGIC SURGEONS SYSTEMATIC REVIEW GROUP. Systematic review of robotic surgery in gynecology: Robotic techniques compared with laparoscopy and laparotomy. Journal of Minimally Invasive Gynecology, v. 21, n. 3, p. 353-61, 2014.
IND, T.; LAIOS, A.; HACKING, M.; NOBBENHUIS, M. A comparison of operative outcomes between standard and robotic laparoscopic surgery for endometrial cancer: A systematic review and meta-analysis. International Journal of Medical Robotics, v. 13, n. 4, e1851, 2017.
LIU, H.; CAO, Y.; LI, L.; BAI, Y.; LIU, J. Effectiveness of robotic surgery for endometrial cancer: A systematic review and meta-analysis. Archives of Gynecology and Obstetrics, v. 305, n. 4, p. 837-850, 2022.
LU, D.; LIU, Z.; SHI, G.; LIU, D.; ZHOU, X. Robotic assisted surgery for gynaecological cancer. Cochrane Database of Systematic Reviews, v. 1, CD008640, 2012.
ONTARIO HEALTH (QUALITY). Robotic-assisted hysterectomy for endometrial cancer in people with obesity: A health technology assessment. Ontario Health Technology Assessment Series, v. 23, n. 6, p. 1-70, 2023.
RAFFONE, A.; TRAVAGLINO, A.; RAIMONDO, D.; BOCCIA, D.; VETRELLA, M.; VERRAZZO, P.; GRANATA, M.; CASADIO, P.; INSABATO, L.; MOLLO, A.; SERACCHIOLI, R. Laparotomic versus robotic surgery in elderly patients with endometrial cancer: A systematic review and meta-analysis. International Journal of Gynecology & Obstetrics, v. 157, n. 1, p. 1-10, 2022.
SCHNITTKA, E.; LANPHER, N. W.; CUSHING-MURRAY, J.; DECKER, T.; PATEL, P. G. Surgical outcomes following robotic single-site versus multiport hysterectomy for treatment of endometrial cancer: A systematic review and meta-analysis. Cureus, v. 15, n. 2, e34702, 2023.
XIE, W.; CAO, D.; YANG, J.; SHEN, K.; ZHAO, L. Robot-assisted surgery versus conventional laparoscopic surgery for endometrial cancer: A systematic review and meta-analysis. Journal of Cancer Research and Clinical Oncology, v. 142, n. 10, p. 2173-83, 2016.
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Copyright (c) 2024 Mariana Luísa da Silva Azevedo, Isadora Pimenta Brandão, Nayara Michele Monteiro Sousa, Igor Furtado Lopes, Leticia Marsari Pereira, Mirian Alejandra Torres Cardenas, Maria Thais Lucena Rodrigues Valenta, Mariana Baião Carneiro de Lucca Braga, Victória Barbosa Mendes Veloso, Ian Nogueira Queiroz, Antonio Belarmino Parente Neto, Guilherme de Mendonça Senra

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