Robotic-Assisted Laparoscopic Hysterectomy versus Conventional Laparoscopic Hysterectomy for Endometrial Cancer at a Regional Institution: A Retrospective Study

Background: Minimally invasive surgeries, such as laparoscopic and robotic have been the main treatment methods for stage I endometrial cancer instead of laparotomy. However, minimally surgeries malignant tumors not yet established in many rural hospitals or with few gynecologists. This study aimed to investigate whether surgery is more sustainable useful at a hospital where single non-laparoscopic-specialized surgeon performs oncologic provides outpatient care. Methods: retrospective case-control was conducted our hospital. The enrolled 65 patients who underwent robotic-assisted hysterectomy (RALH) total (TLH). We compared surgical outcomes patient background, operation time, blood loss, other indices. Results: Exactly 34 surgery, 31 surgery. No severe adverse events required reoperation, conversion laparotomy, ureteral injury during either operation. time decreased those (193 (140–227) vs. 253 (219–287) min, p < 0.001). In addition, loss volume by half Significantly operations were completed two operators rather than three (59% 26%, = 0.007). hospitalization days 1.5 shorter group (p 18 pelvic lymphadenectomy, 26 lymphadenectomy. Patients less (226 (199–246) 261 (236–287) Conclusions: cancer, associated significantly stay, no obvious complications. proposes that promising solution introduction