Morbidity following robot‐assisted surgery in a gynecological oncology setting: A cohort study
Abstract Introduction The objective of the study was to provide a comprehensive description of perioperative morbidity associated with robot‐assisted surgery (RAS) in a gynecological oncology setting in order to improve the preoperative counseling of women and support shared decision‐making. Materia...
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Wiley
2024-08-01
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| Series: | Acta Obstetricia et Gynecologica Scandinavica |
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| Online Access: | https://doi.org/10.1111/aogs.14852 |
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| author | Algirdas Markauskas Jan Blaakær Koen Josef Traen Gudrun Astrid Neumann Wu Chunsen Lone Kjeld Petersen |
| author_facet | Algirdas Markauskas Jan Blaakær Koen Josef Traen Gudrun Astrid Neumann Wu Chunsen Lone Kjeld Petersen |
| author_sort | Algirdas Markauskas |
| collection | DOAJ |
| description | Abstract Introduction The objective of the study was to provide a comprehensive description of perioperative morbidity associated with robot‐assisted surgery (RAS) in a gynecological oncology setting in order to improve the preoperative counseling of women and support shared decision‐making. Material and Methods All women scheduled for intended RAS between January 2015 and December 2022 were prospectively included in an electronic morbidity database for the analyses of perioperative complications. Results In total, 2225 women were included. Sixty‐four patients (2.9%) experienced an intraoperative complication. Intraoperative complications were associated with a higher rate of conversion to laparotomy (15.6% vs. 1.8%, p < 0.001), a higher rate of major postoperative morbidity (9.3% vs. 2.4%, p < 0.001), and a higher rate of reoperation (9.3% vs. 1.7%, p < 0.001), compared to cases without intraoperative complications. Thirty‐day postoperative morbidity was evaluated according to the Memorial Sloan‐Kettering Cancer Center Surgical Secondary Events Grading System. Grade 3–5 events were considered major. A total of 57 patients (2.6%) experienced a major event after surgery, postoperative rupture of the vaginal vault being the most common complication requiring surgical intervention. Conversion to laparotomy occurred in 49 cases (2.2%) and was associated with higher intraoperative blood loss (300 mL vs. 25 mL, p < 0.001), a higher rate of postoperative major events (20.4% vs. 2.2%, p < 0.001), and a higher rate of reoperation (11.8% vs. 1.6%, p < 0.001). Conclusions Our study demonstrates low rates of major perioperative morbidity and conversion to laparotomy after RAS performed by trained high‐volume surgeons in a gynecological oncology setting. |
| format | Article |
| id | doaj-art-761d792d2114415bafaed128520aaae4 |
| institution | OA Journals |
| issn | 0001-6349 1600-0412 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Wiley |
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| series | Acta Obstetricia et Gynecologica Scandinavica |
| spelling | doaj-art-761d792d2114415bafaed128520aaae42025-08-20T02:09:31ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04122024-08-0110381672167910.1111/aogs.14852Morbidity following robot‐assisted surgery in a gynecological oncology setting: A cohort studyAlgirdas Markauskas0Jan Blaakær1Koen Josef Traen2Gudrun Astrid Neumann3Wu Chunsen4Lone Kjeld Petersen5Department of Gynecology and Obstetrics Odense University Hospital Odense DenmarkDepartment of Gynecology and Obstetrics Odense University Hospital Odense DenmarkDepartment of Gynecology and Obstetrics Odense University Hospital Odense DenmarkDepartment of Gynecology and Obstetrics Odense University Hospital Odense DenmarkResearch Unit, Department of Clinical Research in Gynecology and Obstetrics University of Southern Denmark Odense DenmarkDepartment of Gynecology and Obstetrics Odense University Hospital Odense DenmarkAbstract Introduction The objective of the study was to provide a comprehensive description of perioperative morbidity associated with robot‐assisted surgery (RAS) in a gynecological oncology setting in order to improve the preoperative counseling of women and support shared decision‐making. Material and Methods All women scheduled for intended RAS between January 2015 and December 2022 were prospectively included in an electronic morbidity database for the analyses of perioperative complications. Results In total, 2225 women were included. Sixty‐four patients (2.9%) experienced an intraoperative complication. Intraoperative complications were associated with a higher rate of conversion to laparotomy (15.6% vs. 1.8%, p < 0.001), a higher rate of major postoperative morbidity (9.3% vs. 2.4%, p < 0.001), and a higher rate of reoperation (9.3% vs. 1.7%, p < 0.001), compared to cases without intraoperative complications. Thirty‐day postoperative morbidity was evaluated according to the Memorial Sloan‐Kettering Cancer Center Surgical Secondary Events Grading System. Grade 3–5 events were considered major. A total of 57 patients (2.6%) experienced a major event after surgery, postoperative rupture of the vaginal vault being the most common complication requiring surgical intervention. Conversion to laparotomy occurred in 49 cases (2.2%) and was associated with higher intraoperative blood loss (300 mL vs. 25 mL, p < 0.001), a higher rate of postoperative major events (20.4% vs. 2.2%, p < 0.001), and a higher rate of reoperation (11.8% vs. 1.6%, p < 0.001). Conclusions Our study demonstrates low rates of major perioperative morbidity and conversion to laparotomy after RAS performed by trained high‐volume surgeons in a gynecological oncology setting.https://doi.org/10.1111/aogs.14852cervical cancerendometrial cancerhysterectomymorbiditymortalityoncology |
| spellingShingle | Algirdas Markauskas Jan Blaakær Koen Josef Traen Gudrun Astrid Neumann Wu Chunsen Lone Kjeld Petersen Morbidity following robot‐assisted surgery in a gynecological oncology setting: A cohort study Acta Obstetricia et Gynecologica Scandinavica cervical cancer endometrial cancer hysterectomy morbidity mortality oncology |
| title | Morbidity following robot‐assisted surgery in a gynecological oncology setting: A cohort study |
| title_full | Morbidity following robot‐assisted surgery in a gynecological oncology setting: A cohort study |
| title_fullStr | Morbidity following robot‐assisted surgery in a gynecological oncology setting: A cohort study |
| title_full_unstemmed | Morbidity following robot‐assisted surgery in a gynecological oncology setting: A cohort study |
| title_short | Morbidity following robot‐assisted surgery in a gynecological oncology setting: A cohort study |
| title_sort | morbidity following robot assisted surgery in a gynecological oncology setting a cohort study |
| topic | cervical cancer endometrial cancer hysterectomy morbidity mortality oncology |
| url | https://doi.org/10.1111/aogs.14852 |
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