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

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...

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Veröffentlicht in:Best practice & research. Clinical obstetrics & gynaecology 2024-02, Vol.92, p.102421-102421, Article 102421
Hauptverfasser: Collins, Anna, Jacob, Annie, Moss, Esther
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Moss, Esther
description 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. •Robotic-assisted surgery may have benefits for high-BMI patients.•Surgical/anaesthetic teams should be experienced in managing high-risk patients.•Prehabilitation may play a role in improving outcomes in frail or elderly patients.
doi_str_mv 10.1016/j.bpobgyn.2023.102421
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subjects Endometrial Neoplasms - surgery
Female
Frailty
Humans
Hysterectomy - adverse effects
Laparoscopic hysterectomy
Laparoscopy
Minimally Invasive Surgical Procedures
Obesity
Prehabilitation
Robotic Surgical Procedures
Robotic-assisted hysterectomy
title Robotic-assisted surgery in high-risk surgical patients with endometrial cancer
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