Robotic-assisted surgery in high-risk surgical patients with endometrial cancer

Anna Collins; Annie Jacob; Esther Moss

doi:10.1016/j.bpobgyn.2023.102421

Robotic-assisted surgery in high-risk surgical patients with endometrial cancer

Best Pract Res Clin Obstet Gynaecol. 2024 Feb:92:102421. doi: 10.1016/j.bpobgyn.2023.102421. Epub 2023 Nov 4.

Authors

Anna Collins¹, Annie Jacob², Esther Moss³

Affiliations

¹ College of Life Sciences, University of Leicester, University Road, Leicester, LE1 7RH, UK; Deparatment of Gynaecological Oncology, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester, LE1 5WW, UK.
² Department of Anaesthesia, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester, LE1 5WW, UK.
³ College of Life Sciences, University of Leicester, University Road, Leicester, LE1 7RH, UK; Deparatment of Gynaecological Oncology, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester, LE1 5WW, UK. Electronic address: em321@le.ac.uk.

PMID: 37980868
DOI: 10.1016/j.bpobgyn.2023.102421

Abstract

Many patients diagnosed with an endometrial cancer are at high-risk for surgery due to factors such as advanced age, raised body mass index or frailty. Minimally-invasive surgery, in particular robotic-assisted, is increasingly used in the surgical management of endometrial cancer however, there are a lack of clinical trials investigating outcomes in high-risk patient populations. This article will review the current evidence and identify areas of uncertainty where future research is needed.

Keywords: Frailty; Laparoscopic hysterectomy; Obesity; Prehabilitation; Robotic-assisted hysterectomy.

Publication types

Review

MeSH terms

Endometrial Neoplasms* / surgery
Female
Humans
Hysterectomy / adverse effects
Laparoscopy*
Minimally Invasive Surgical Procedures
Robotic Surgical Procedures*