Robotic-assisted total laparoscopic hysterectomy and staging for the treatment of endometrial cancer: a comparison with conventional laparoscopy and abdominal approaches.

The treatment of endometrial cancer using a minimally invasive approach provides benefits to the patient; however, there are currently few papers comparing robotic total laparoscopic hysterectomy with staging to conventional laparoscopic and abdominal approaches. Analyses of 102 consecutive patients undergoing robotic total hysterectomy were compared to historical cohorts of 104 patients undergoing laparoscopic total hysterectomy and 78 patients undergoing abdominal total hysterectomy (laparotomy). The majority of all patients were FIGO'88 stage IB.

A case matched analysis of robotic radical hysterectomy with lymphadenectomy compared with laparoscopy and laparotomy.

Objective: To compare robotic radical hysterectomy to laparoscopic and radical abdominal hysterectomy in the treatment of cervical cancer.

Methods: Prospective analyses of thirty-two consecutive patients undergoing robotic radical hysterectomy were compared to 17 patients undergoing laparoscopic radical hysterectomy and 14 patients undergoing radical abdominal hysterectomy.

Results: Operative time for the robotic group was 2.

Gynecologic laparoscopy.

Laparoscopic techniques are slowly gaining acceptance in gynecologic oncology. Usage in early stage endometrial and ovarian cancer and in the evaluation of suspicious adnexal masses is increasing, but large prospective series have not been performed. Laparoscopic procedures carry a steep learning curve and there are a limited number of centers currently performing these procedures for oncologic indications.