Robotic approach using simple and radical hysterectomy for endometrial cancer with long-term follow-up evaluation

Background Feasibility and outcome of robotic‐assisted laparoscopy (RAL) for endometrial cancer was evaluated with a mean follow‐up of 4 years. Methods Robotic hysterectomy (RH) and type B robotic radical hysterectomy (RRH), with or without pelvic lymphadenectomy (PLH), was performed on 51 consecutive patients. Records were reviewed for demographic data, medical/surgical history and comorbidities, perioperative findings and outcomes, as well as long‐term complications and recurrences. Regarding stage, according to 2009 FIGO, 25% of cases were IA, while 20%, 53% and 2% of cases were, respectively, IB, II and IIIA stage. Results Twenty‐eight patients underwent RRH + PLH (54.9%), four patients underwent RH with concurrent nodal sampling (NS) (7.8%); a total of 32 PLH were performed (62.6%).The median operative time for RRH + PLH was 255 min (range: 160–435). Pathology confirmed the adequacy of the surgical specimen. Conclusion Our data support the adoption of RAL staging in patients with endometrial cancer, including those with cervical involvement, and demonstrate good long‐term outcomes. Copyright © 2015 John Wiley & Sons, Ltd.