Uterine Cancer pp 231-247 | Cite as

Role of Laparoscopic and Robotic Surgery in Endometrial Cancer: The Inevitable Evolution

  • Alex Rabinovich
  • Walter H. Gotlieb
  • Ido Laskov


Surgery remains the cornerstone in the management of patients with endometrial carcinoma. In 1988, the International Federation of Gynecology and Obstetrics (FIGO) implemented a surgical staging system for endometrial cancer that has been updated in 2009 [1]. The transition to surgical staging occurred in part because the clinically defined stage was retrospectively reassigned after examination of the surgical specimen in 25 % of the cases, and 16 % of the women with presumed stage I were found to actually have stage III or IV disease.


Endometrial Cancer Endometrial Carcinoma Robotic Surgery Common Iliac Artery Laparoscopic Staging 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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  1. 1.
    Zaino RJ. FIGO staging of endometrial adenocarcinoma: a critical review and proposal. Int J Gynecol Pathol. 2009;28(1):1–9. Epub 2008/12/03.PubMedCrossRefGoogle Scholar
  2. 2.
    Dargent D, Mathevet P. Schauta’s vaginal hysterectomy combined with laparoscopic lymphadenectomy. Baillieres Clin Obstet Gynaecol. 1995;9(4):691–705. Epub 1995/12/01.PubMedCrossRefGoogle Scholar
  3. 3.
    Reich H. Laparoscopic hysterectomy. Surg Laparosc Endosc. 1992;2(1):85–8. Epub 1992/03/01.PubMedGoogle Scholar
  4. 4.
    Querleu D, Leblanc E, Castelain B. Laparoscopic pelvic lymphadenectomy in the staging of early carcinoma of the cervix. Am J Obstet Gynecol. 1991;164(2):579–81. Epub 1991/02/01.PubMedCrossRefGoogle Scholar
  5. 5.
    Nezhat CR, Burrell MO, Nezhat FR, Benigno BB, Welander CE. Laparoscopic radical hysterectomy with paraaortic and pelvic node dissection. Am J Obstet Gynecol. 1992;166(3):864–5. Epub 1992/03/01.PubMedCrossRefGoogle Scholar
  6. 6.
    Childers JM, Surwit EA. Combined laparoscopic and vaginal surgery for the management of two cases of stage I endometrial cancer. Gynecol Oncol. 1992;45(1):46–51. Epub 1992/04/01.PubMedCrossRefGoogle Scholar
  7. 7.
    Zullo F, Falbo A, Palomba S. Safety of laparoscopy vs laparotomy in the surgical staging of endometrial cancer: a systematic review and meta analysis of randomized controlled trials. Am J Obstet Gynecol. 2012;207(2):94–100. Epub 2012/02/22.PubMedCrossRefGoogle Scholar
  8. 8.
    Fram KM. Laparoscopically assisted vaginal hysterectomy versus abdominal hysterectomy in stage I endometrial cancer. Int J Gynecol Cancer. 2002;12(1):57–61. Epub 2002/02/28.PubMedCrossRefGoogle Scholar
  9. 9.
    Zorlu CG, Simsek T, Ari ES. Laparoscopy or laparotomy for the management of endometrial cancer. JSLS. 2005;9(4):442–6. Epub 2005/12/31.PubMedCentralPubMedGoogle Scholar
  10. 10.
    Tozzi R, Malur S, Koehler C, Schneider A. Laparoscopy versus laparotomy in endometrial cancer: first analysis of survival of a randomized prospective study. J Minim Invasive Gynecol. 2005;12(2):130–6. Epub 2005/05/21.PubMedCrossRefGoogle Scholar
  11. 11.
    Zullo F, Palomba S, Russo T, Falbo A, Costantino M, Tolino A, et al. A prospective randomized comparison between laparoscopic and laparotomic approaches in women with early stage endometrial cancer: a focus on the quality of life. Am J Obstet Gynecol. 2005;193(4):1344–52. Epub 2005/10/06.PubMedCrossRefGoogle Scholar
  12. 12.
    Malzoni M, Tinelli R, Cosentino F, Perone C, Rasile M, Iuzzolino D, et al. Total laparoscopic hysterectomy versus abdominal hysterectomy with lymphadenectomy for early-stage endometrial cancer: a prospective randomized study. Gynecol Oncol. 2009;112(1):126–33. Epub 2008/10/25.PubMedCrossRefGoogle Scholar
  13. 13.
    Palomba S, Falbo A, Mocciaro R, Russo T, Zullo F. Laparoscopic treatment for endometrial cancer: a meta-analysis of randomized controlled trials (RCTs). Gynecol Oncol. 2009;112(2):415–21. Epub 2008/11/01.PubMedCrossRefGoogle Scholar
  14. 14.
    Palomba S, Falbo A, Russo T, Zullo F. Updating of a recent meta-analysis of randomized controlled trials to assess the safety and the efficacy of the laparoscopic surgery for treating early stage endometrial cancer. Gynecol Oncol. 2009;114(1):135–6. Epub 2009/04/21.PubMedCrossRefGoogle Scholar
  15. 15.
    Walker JL, Piedmonte MR, Spirtos NM, Eisenkop SM, Schlaerth JB, Mannel RS, et al. Laparoscopy compared with laparotomy for comprehensive surgical staging of uterine cancer: Gynecologic Oncology Group Study LAP2. J Clin Oncol. 2009;27(32):5331–6. Epub 2009/10/07.PubMedCentralPubMedCrossRefGoogle Scholar
  16. 16.
    Mourits MJ, Bijen CB, Arts HJ, ter Brugge HG, van der Sijde R, Paulsen L, et al. Safety of laparoscopy versus laparotomy in early-stage endometrial cancer: a randomised trial. Lancet Oncol. 2010;11(8):763–71. Epub 2010/07/20.PubMedCrossRefGoogle Scholar
  17. 17.
    Janda M, Gebski V, Brand A, Hogg R, Jobling TW, Land R, et al. Quality of life after total laparoscopic hysterectomy versus total abdominal hysterectomy for stage I endometrial cancer (LACE): a randomised trial. Lancet Oncol. 2010;11(8):772–80. Epub 2010/07/20.PubMedCrossRefGoogle Scholar
  18. 18.
    Walker JL, Piedmonte MR, Spirtos NM, Eisenkop SM, Schlaerth JB, Mannel RS, et al. Recurrence and survival after random assignment to laparoscopy versus laparotomy for comprehensive surgical staging of uterine cancer: Gynecologic Oncology Group LAP2 Study. J Clin Oncol. 2012;30(7):695–700. Epub 2012/02/01.PubMedCentralPubMedCrossRefGoogle Scholar
  19. 19.
    Mabrouk M, Frumovitz M, Greer M, Sharma S, Schmeler KM, Soliman PT, et al. Trends in laparoscopic and robotic surgery among gynecologic oncologists: a survey update. Gynecol Oncol. 2009;112(3):501–5. Epub 2009/01/14.PubMedCentralPubMedCrossRefGoogle Scholar
  20. 20.
    Terai Y, Tanaka T, Sasaki H, Kawaguchi H, Fujiwara S, Yoo S, et al. Total laparoscopic modified radical hysterectomy with lymphadenectomy for endometrial cancer compared with laparotomy. J Obstet Gynaecol Res. 2014;40(2):570–5. Epub 2013/10/15.PubMedCrossRefGoogle Scholar
  21. 21.
    Eltabbakh GH, Mount SL. Laparoscopic surgery does not increase the positive peritoneal cytology among women with endometrial carcinoma. Gynecol Oncol. 2006;100(2):361–4. Epub 2005/09/28.PubMedCrossRefGoogle Scholar
  22. 22.
    Lim S, Kim HS, Lee KB, Yoo CW, Park SY, Seo SS. Does the use of a uterine manipulator with an intrauterine balloon in total laparoscopic hysterectomy facilitate tumor cell spillage into the peritoneal cavity in patients with endometrial cancer? Int J Gynecol Cancer. 2008;18(5):1145–9. Epub 2008/01/26.PubMedCrossRefGoogle Scholar
  23. 23.
    Ramirez PT, Frumovitz M, Wolf JK, Levenback C. Laparoscopic port-site metastases in patients with gynecological malignancies. Int J Gynecol Cancer. 2004;14(6):1070–7. Epub 2004/12/02.PubMedCrossRefGoogle Scholar
  24. 24.
    Reilly WT, Nelson H, Schroeder G, Wieand HS, Bolton J, O’Connell MJ. Wound recurrence following conventional treatment of colorectal cancer. A rare but perhaps underestimated problem. Dis Colon Rectum. 1996;39(2):200–7. Epub 1996/02/01.PubMedCrossRefGoogle Scholar
  25. 25.
    Zivanovic O, Sonoda Y, Diaz JP, Levine DA, Brown CL, Chi DS, et al. The rate of port-site metastases after 2251 laparoscopic procedures in women with underlying malignant disease. Gynecol Oncol. 2008;111(3):431–7. Epub 2008/10/22.PubMedCrossRefGoogle Scholar
  26. 26.
    Wynder EL, Escher GC, Mantel N. An epidemiological investigation of cancer of the endometrium. Cancer. 1966;19(4):489–520. Epub 1966/04/01.PubMedCrossRefGoogle Scholar
  27. 27.
    Harmanli O, Esin S, Knee A, Jones K, Ayaz R, Tunitsky E. Effect of obesity on perioperative outcomes of laparoscopic hysterectomy. J Reprod Med. 2013;58(11–12):497–503. Epub 2014/02/27.PubMedGoogle Scholar
  28. 28.
    Gunderson CC, Java J, Moore KN, Walker JL. The impact of obesity on surgical staging, complications, and survival with uterine cancer: a Gynecologic Oncology Group LAP2 ancillary data study. Gynecol Oncol. 2014;133(1):23–7. Epub 2014/04/01.PubMedCrossRefGoogle Scholar
  29. 29.
    Tinelli R, Litta P, Meir Y, Surico D, Leo L, Fusco A, et al. Advantages of laparoscopy versus laparotomy in extremely obese women (BMI > 35) with early-stage endometrial cancer: a multicenter study. Anticancer Res. 2014;34(5):2497–502. Epub 2014/04/30.PubMedGoogle Scholar
  30. 30.
    Bogani G, Cromi A, Uccella S, Serati M, Casarin J, Mariani A, et al. Laparoscopic staging in women older than 75 years with early-stage endometrial cancer: comparison with open surgical operation. Menopause. 2014;21(9):945–51. Epub 2014/01/30.PubMedCrossRefGoogle Scholar
  31. 31.
    Ciavattini A, Di Giuseppe J, Cecchi S, Tsiroglou D, Mancioli F, Stevenazzi G, et al. Gynecologic laparoscopy in patients aged 65 or more: feasibility and safety in the presence of increased comorbidity. Eur J Obstet Gynecol Reprod Biol. 2014;175:49–53. Epub 2014/01/25.PubMedCrossRefGoogle Scholar
  32. 32.
    Bogani G, Cromi A, Uccella S, Serati M, Casarin J, Pinelli C, et al. Perioperative and long-term outcomes of laparoscopic, open abdominal, and vaginal surgery for endometrial cancer in patients aged 80 years or older. Int J Gynecol Cancer. 2014;24(5):894–900. Epub 2014/05/14.PubMedCrossRefGoogle Scholar
  33. 33.
    Kornblith AB, Huang HQ, Walker JL, Spirtos NM, Rotmensch J, Cella D. Quality of life of patients with endometrial cancer undergoing laparoscopic international federation of gynecology and obstetrics staging compared with laparotomy: a Gynecologic Oncology Group study. J Clin Oncol. 2009;27(32):5337–42. Epub 2009/10/07.PubMedCentralPubMedCrossRefGoogle Scholar
  34. 34.
    Carter J, Huang H, Chase DM, Walker JL, Cella D, Wenzel L. Sexual function of patients with endometrial cancer enrolled in the Gynecologic Oncology Group LAP2 Study. Int J Gynecol Cancer. 2012;22(9):1624–33. Epub 2012/10/26.PubMedCentralPubMedCrossRefGoogle Scholar
  35. 35.
    Juhasz-Boss I, Mallmann P, Moller CP, Solomayer EF. Use of laparoscopy in the treatment of endometrial and cervical cancer – results of a 2012 Germany-wide survey. Geburtshilfe Frauenheilkd. 2013;73(9):911–7. Epub 2014/04/29.PubMedCentralPubMedCrossRefGoogle Scholar
  36. 36.
    Gaia G, Holloway RW, Santoro L, Ahmad S, Di Silverio E, Spinillo A. Robotic-assisted hysterectomy for endometrial cancer compared with traditional laparoscopic and laparotomy approaches: a systematic review. Obstet Gynecol. 2010;116(6):1422–31. Epub 2010/11/26.PubMedCrossRefGoogle Scholar
  37. 37.
    Lu D, Liu Z, Shi G, Liu D, Zhou X. Robotic assisted surgery for gynaecological cancer. Cochrane Database Syst Rev. 2012;1:Cd008640. Epub 2012/01/20.PubMedGoogle Scholar
  38. 38.
    Holloway RW, Ahmad S. Robotic-assisted surgery in the management of endometrial cancer. J Obstet Gynaecol Res. 2012;38(1):1–8. Epub 2011/12/06.PubMedCrossRefGoogle Scholar
  39. 39.
    Verheijen R, Zweemer R. Robotic surgery for gynaecologic cancer: an overview. Curr Oncol Rep. 2012;14(6):544–9. Epub 2012/08/31.PubMedCrossRefGoogle Scholar
  40. 40.
    Krill LS, Bristow RE. Robotic surgery: gynecologic oncology. Cancer J. 2013;19(2):167–76. Epub 2013/03/27.PubMedCrossRefGoogle Scholar
  41. 41.
    Frumovitz M, Escobar P, Ramirez PT. Minimally invasive surgical approaches for patients with endometrial cancer. Clin Obstet Gynecol. 2011;54(2):226–34. Epub 2011/04/22.PubMedCrossRefGoogle Scholar
  42. 42.
    Lowery WJ, Leath 3rd CA, Robinson RD. Robotic surgery applications in the management of gynecologic malignancies. J Surg Oncol. 2012;105(5):481–7. Epub 2012/03/24.PubMedCrossRefGoogle Scholar
  43. 43.
    Fleming ND, Ramirez PT. Robotic surgery in gynecologic oncology. Curr Opin Oncol. 2012;24(5):547–53. Epub 2012/05/15.PubMedCrossRefGoogle Scholar
  44. 44.
    Wright JD, Ananth CV, Tergas AI, Herzog TJ, Burke WM, Lewin SN, et al. An economic analysis of robotically assisted hysterectomy. Obstet Gynecol. 2014;123(5):1038–48. Epub 2014/05/03.PubMedCentralPubMedCrossRefGoogle Scholar
  45. 45.
    Leitao Jr MM, Bartashnik A, Wagner I, Lee SJ, Caroline A, Hoskins WJ, et al. Cost-effectiveness analysis of robotically assisted laparoscopy for newly diagnosed uterine cancers. Obstet Gynecol. 2014;123(5):1031–7. Epub 2014/05/03.PubMedCentralPubMedCrossRefGoogle Scholar
  46. 46.
    Brudie LA, Backes FJ, Ahmad S, Zhu X, Finkler NJ, Bigsby GE, et al. Analysis of disease recurrence and survival for women with uterine malignancies undergoing robotic surgery. Gynecol Oncol. 2013;128(2):309–15. Epub 2012/11/17.PubMedCrossRefGoogle Scholar
  47. 47.
    Cardenas-Goicoechea J, Shepherd A, Momeni M, Mandeli J, Chuang L, Gretz H, et al. Survival analysis of robotic versus traditional laparoscopic surgical staging for endometrial cancer. Am J Obstet Gynecol. 2014;210(2):160.e1–11. Epub 2013/11/02.CrossRefGoogle Scholar
  48. 48.
    Kilgore JE, Jackson AL, Ko EM, Soper JT, Van Le L, Gehrig PA, et al. Recurrence-free and 5-year survival following robotic-assisted surgical staging for endometrial carcinoma. Gynecol Oncol. 2013;129(1):49–53. Epub 2012/12/25.PubMedCrossRefGoogle Scholar
  49. 49.
    ElSahwi KS, Hooper C, De Leon MC, Gallo TN, Ratner E, Silasi DA, et al. Comparison between 155 cases of robotic vs. 150 cases of open surgical staging for endometrial cancer. Gynecol Oncol. 2012;124(2):260–4. Epub 2011/11/01.PubMedCrossRefGoogle Scholar
  50. 50.
    Seamon LG, Cohn DE, Henretta MS, Kim KH, Carlson MJ, Phillips GS, et al. Minimally invasive comprehensive surgical staging for endometrial cancer: robotics or laparoscopy? Gynecol Oncol. 2009;113(1):36–41. Epub 2009/01/27.PubMedCrossRefGoogle Scholar
  51. 51.
    Turunen H, Pakarinen P, Sjoberg J, Loukovaara M. Laparoscopic vs robotic-assisted surgery for endometrial carcinoma in a centre with long laparoscopic experience. J Obstet Gynaecol. 2013;33(7):720–4. Epub 2013/10/17.PubMedCrossRefGoogle Scholar
  52. 52.
    Menderes G, Azodi M, Clark L, Xu X, Lu L, Ratner E, et al. Impact of body mass index on surgical outcomes and analysis of disease recurrence for patients with endometrial cancer undergoing robotic-assisted staging. Int J Gynecol Cancer. 2014;24(6):1118–25.PubMedCrossRefGoogle Scholar
  53. 53.
    Lau S, Buzaglo K, Vaknin Z, Brin S, Kaufer R, Drummond N, et al. Relationship between body mass index and robotic surgery outcomes of women diagnosed with endometrial cancer. Int J Gynecol Cancer. 2011;21(4):722–9. Epub 2011/05/07.PubMedCrossRefGoogle Scholar
  54. 54.
    Tang KY, Gardiner SK, Gould C, Osmundsen B, Collins M, Winter 3rd WE. Robotic surgical staging for obese patients with endometrial cancer. Am J Obstet Gynecol. 2012;206(6):513.e1–6. Epub 2012/03/14.CrossRefGoogle Scholar
  55. 55.
    Lavoue V, Zeng X, Lau S, Press JZ, Abitbol J, Gotlieb R, et al. Impact of robotics on the outcome of elderly patients with endometrial cancer. Gynecol Oncol. 2014;133(3):556–62. Epub 2014/04/09.PubMedCrossRefGoogle Scholar
  56. 56.
    Siesto G, Ornaghi S, Ieda N, Vitobello D. Robotic surgical staging for endometrial and cervical cancers in medically ill patients. Gynecol Oncol. 2013;129(3):593–7. Epub 2013/03/05.PubMedCrossRefGoogle Scholar
  57. 57.
    Bell MC, Torgerson J, Seshadri-Kreaden U, Suttle AW, Hunt S. Comparison of outcomes and cost for endometrial cancer staging via traditional laparotomy, standard laparoscopy and robotic techniques. Gynecol Oncol. 2008;111(3):407–11. Epub 2008/10/03.PubMedCrossRefGoogle Scholar
  58. 58.
    Wright JD, Ananth CV, Lewin SN, Burke WM, Lu YS, Neugut AI, et al. Robotically assisted vs laparoscopic hysterectomy among women with benign gynecologic disease. JAMA. 2013;309(7):689–98. Epub 2013/02/21.PubMedCrossRefGoogle Scholar
  59. 59.
    Paraiso MF, Ridgeway B, Park AJ, Jelovsek JE, Barber MD, Falcone T, et al. A randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy. Am J Obstet Gynecol. 2013;208(5):368 e1–7. Epub 2013/02/12.PubMedCrossRefGoogle Scholar
  60. 60.
    Desille-Gbaguidi H, Hebert T, Paternotte-Villemagne J, Gaborit C, Rush E, Body G. Overall care cost comparison between robotic and laparoscopic surgery for endometrial and cervical cancer. Eur J Obstet Gynecol Reprod Biol. 2013;171(2):348–52. Epub 2013/10/19.PubMedCrossRefGoogle Scholar
  61. 61.
    Health Quality O. Robotic-assisted minimally invasive surgery for gynecologic and urologic oncology: an evidence-based analysis. Ont Health Technol Assess Ser. 2010;10(27):1–118. Epub 2010/01/01.Google Scholar
  62. 62.
    Leitao Jr MM. Potential pitfalls of the rapid uptake of new technology in surgery: can comparative effectiveness research help? J Clin Oncol. 2012;30(8):767–9. Epub 2012/02/01.PubMedCrossRefGoogle Scholar
  63. 63.
    Berchuck A, Secord AA, Havrilesky LJ. Minimally invasive surgery for endometrial cancer: the horse is already out of the barn. J Clin Oncol. 2012;30(7):681–2. Epub 2012/02/01.PubMedCrossRefGoogle Scholar
  64. 64.
    Juhasz-Boss I, Haggag H, Baum S, Kerl S, Rody A, Solomayer E. Laparoscopic and laparotomic approaches for endometrial cancer treatment: a comprehensive review. Arch Gynecol Obstet. 2012;286(1):167–72. Epub 2012/03/01.PubMedCrossRefGoogle Scholar
  65. 65.
    Boggess JF, Gehrig PA, Cantrell L, Shafer A, Ridgway M, Skinner EN, et al. A comparative study of 3 surgical methods for hysterectomy with staging for endometrial cancer: robotic assistance, laparoscopy, laparotomy. Am J Obstet Gynecol. 2008;199(4):360 e1–9. Epub 2008/10/22.PubMedCrossRefGoogle Scholar
  66. 66.
    DeNardis SA, Holloway RW, Bigsby GE, Pikaart DP, Ahmad S, Finkler NJ. Robotically assisted laparoscopic hysterectomy versus total abdominal hysterectomy and lymphadenectomy for endometrial cancer. Gynecol Oncol. 2008;111(3):412–7. Epub 2008/10/07.PubMedCrossRefGoogle Scholar
  67. 67.
    Holloway RW, Ahmad S, DeNardis SA, Peterson LB, Sultana N, Bigsby GE, et al. Robotic-assisted laparoscopic hysterectomy and lymphadenectomy for endometrial cancer: analysis of surgical performance. Gynecol Oncol. 2009;115(3):447–52. Epub 2009/09/22.PubMedCrossRefGoogle Scholar
  68. 68.
    Peiretti M, Zanagnolo V, Bocciolone L, Landoni F, Colombo N, Minig L, et al. Robotic surgery: changing the surgical approach for endometrial cancer in a referral cancer center. J Minim Invasive Gynecol. 2009;16(4):427–31. Epub 2009/05/27.PubMedCrossRefGoogle Scholar
  69. 69.
    Lowe MP, Johnson PR, Kamelle SA, Kumar S, Chamberlain DH, Tillmanns TD. A multiinstitutional experience with robotic-assisted hysterectomy with staging for endometrial cancer. Obstet Gynecol. 2009;114(2 Pt 1):236–43. Epub 2009/07/23.PubMedCrossRefGoogle Scholar
  70. 70.
    Cardenas-Goicoechea J, Adams S, Bhat SB, Randall TC. Surgical outcomes of robotic-assisted surgical staging for endometrial cancer are equivalent to traditional laparoscopic staging at a minimally invasive surgical center. Gynecol Oncol. 2010;117(2):224–8. Epub 2010/02/11.PubMedCentralPubMedCrossRefGoogle Scholar
  71. 71.
    Paley PJ, Veljovich DS, Shah CA, Everett EN, Bondurant AE, Drescher CW, et al. Surgical outcomes in gynecologic oncology in the era of robotics: analysis of first 1000 cases. Am J Obstet Gynecol. 2011;204(6):551 e1–9. Epub 2011/03/18.PubMedCrossRefGoogle Scholar
  72. 72.
    Coronado PJ, Herraiz MA, Magrina JF, Fasero M, Vidart JA. Comparison of perioperative outcomes and cost of robotic-assisted laparoscopy, laparoscopy and laparotomy for endometrial cancer. Eur J Obstet Gynecol Reprod Biol. 2012;165(2):289–94. Epub 2012/07/24.PubMedCrossRefGoogle Scholar
  73. 73.
    Backes FJ, Brudie LA, Farrell MR, Ahmad S, Finkler NJ, Bigsby GE, et al. Short- and long-term morbidity and outcomes after robotic surgery for comprehensive endometrial cancer staging. Gynecol Oncol. 2012;125(3):546–51. Epub 2012/03/06.PubMedCrossRefGoogle Scholar
  74. 74.
    Lau S, Vaknin Z, Ramana-Kumar AV, Halliday D, Franco EL, Gotlieb WH. Outcomes and cost comparisons after introducing a robotics program for endometrial cancer surgery. Obstet Gynecol. 2012;119(4):717–24. Epub 2012/03/22.PubMedCrossRefGoogle Scholar
  75. 75.
    Leitao Jr MM, Briscoe G, Santos K, Winder A, Jewell EL, Hoskins WJ, et al. Introduction of a computer-based surgical platform in the surgical care of patients with newly diagnosed uterine cancer: outcomes and impact on approach. Gynecol Oncol. 2012;125(2):394–9. Epub 2012/02/07.PubMedCrossRefGoogle Scholar
  76. 76.
    Cardenas-Goicoechea J, Soto E, Chuang L, Gretz H, Randall TC. Integration of robotics into two established programs of minimally invasive surgery for endometrial cancer appears to decrease surgical complications. J Gynecol Oncol. 2013;24(1):21–8. Epub 2013/01/25.PubMedCentralPubMedCrossRefGoogle Scholar
  77. 77.
    Seror J, Bats AS, Huchon C, Bensaid C, Douay-Hauser N, Lecuru F. Laparoscopy vs robotics in surgical management of endometrial cancer: comparison of intraoperative and postoperative complications. J Minim Invasive Gynecol. 2014;21(1):120–5. Epub 2013/09/03.PubMedCrossRefGoogle Scholar
  78. 78.
    Barnett JC, Judd JP, Wu JM, Scales Jr CD, Myers ER, Havrilesky LJ. Cost comparison among robotic, laparoscopic, and open hysterectomy for endometrial cancer. Obstet Gynecol. 2010;116(3):685–93. Epub 2010/08/25.PubMedCrossRefGoogle Scholar
  79. 79.
    Shah NT, Wright KN, Jonsdottir GM, Jorgensen S, Einarsson JI, Muto MG. The feasibility of societal cost equivalence between robotic hysterectomy and alternate hysterectomy methods for endometrial cancer. Obstet Gynecol Int. 2011;2011:570464. Epub 2011/12/23.PubMedCentralPubMedCrossRefGoogle Scholar
  80. 80.
    Wright JD, Burke WM, Wilde ET, Lewin SN, Charles AS, Kim JH, et al. Comparative effectiveness of robotic versus laparoscopic hysterectomy for endometrial cancer. J Clin Oncol. 2012;30(8):783–91. Epub 2012/02/01.PubMedCentralPubMedCrossRefGoogle Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  • Alex Rabinovich
    • 1
  • Walter H. Gotlieb
    • 2
  • Ido Laskov
    • 1
    • 3
  1. 1.Division of Gynecologic Oncology, Jewish General HospitalMcGill UniversityMontrealCanada
  2. 2.Division of Surgical and Gynecologic Oncology, Jewish General HospitalMcGill UniversityMontrealCanada
  3. 3.Segal Cancer Center, Lady Davis Institute of Medical ResearchMcGill UniversityMontrealCanada

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