Survival Impact of Robotic-Assisted Laparoscopy (RAL) vs. Conventional Laparoscopy (LPS) in the Treatment of Endometrial Cancer

Objective: This study aimed to assess the impact of minimally invasive surgery (MIS) on survival rates in women diagnosed with endometrial cancer (EC). Methods: A retrospective cohort of 723 women who underwent MIS for EC was analyzed, with 468 having conventional laparoscopy (LPS) and 255 undergoin...

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Detalhes bibliográficos
Autores: Delso, Vanesa, Sánchez del Hoyo, Rafael, Sánchez Barderas, Lucía, Gracia, Myriam, Baquedano, Laura, Martínez Maestre, María A, Fasero, María, Coronado Martín, Pluvio Jesús
Formato: artículo
Fecha de publicación:2025
País:España
Recursos:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/128842
Acesso em linha:https://hdl.handle.net/20.500.14352/128842
Access Level:acceso abierto
Palavra-chave:Complex surgical
Endometrial carcinoma
Laparoscopy
Morbidity
Obesity
Robotic-assisted laparoscopy
Survival
Ciencias Biomédicas
Ginecología y obstetricia
32 Ciencias Médicas
3201.08 Ginecología
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spelling Survival Impact of Robotic-Assisted Laparoscopy (RAL) vs. Conventional Laparoscopy (LPS) in the Treatment of Endometrial CancerDelso, VanesaSánchez del Hoyo, RafaelSánchez Barderas, LucíaGracia, MyriamBaquedano, LauraMartínez Maestre, María AFasero, MaríaCoronado Martín, Pluvio JesúsComplex surgicalEndometrial carcinomaLaparoscopyMorbidityObesityRobotic-assisted laparoscopySurvivalCiencias BiomédicasGinecología y obstetricia32 Ciencias Médicas3201.08 GinecologíaObjective: This study aimed to assess the impact of minimally invasive surgery (MIS) on survival rates in women diagnosed with endometrial cancer (EC). Methods: A retrospective cohort of 723 women who underwent MIS for EC was analyzed, with 468 having conventional laparoscopy (LPS) and 255 undergoing robotic-assisted laparoscopy (RAL). Sociodemographic features, tumor characteristics, and survival rates were examined for the entire cohort and in a propensity score-matched model. Results: In the overall sample, women who underwent RAL were older, had higher BMI, more comorbidities, and more aggressive tumors. After matching for age, BMI, comorbidities, ASA score, histological type, grade, myometrial invasion, LVSI, and FIGO stage, 482 patients (241 matched pairs) were selected. Disease-free survival (DFS) HR: 1, overall survival (OS) HR: 0.9, and specific survival related to EC (SS) HR: 0.15 were similar between the LPS and RAL groups. Conclusions: These findings suggest that the choice of surgical approach (robotic or laparoscopic) does not impact survival outcomes when matched in homogeneous groups.MDPIUniversidad Complutense de Madrid20252025-01-2720252025-01-27journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/128842reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1288422026-06-02T12:44:21Z
dc.title.none.fl_str_mv Survival Impact of Robotic-Assisted Laparoscopy (RAL) vs. Conventional Laparoscopy (LPS) in the Treatment of Endometrial Cancer
title Survival Impact of Robotic-Assisted Laparoscopy (RAL) vs. Conventional Laparoscopy (LPS) in the Treatment of Endometrial Cancer
spellingShingle Survival Impact of Robotic-Assisted Laparoscopy (RAL) vs. Conventional Laparoscopy (LPS) in the Treatment of Endometrial Cancer
Delso, Vanesa
Complex surgical
Endometrial carcinoma
Laparoscopy
Morbidity
Obesity
Robotic-assisted laparoscopy
Survival
Ciencias Biomédicas
Ginecología y obstetricia
32 Ciencias Médicas
3201.08 Ginecología
title_short Survival Impact of Robotic-Assisted Laparoscopy (RAL) vs. Conventional Laparoscopy (LPS) in the Treatment of Endometrial Cancer
title_full Survival Impact of Robotic-Assisted Laparoscopy (RAL) vs. Conventional Laparoscopy (LPS) in the Treatment of Endometrial Cancer
title_fullStr Survival Impact of Robotic-Assisted Laparoscopy (RAL) vs. Conventional Laparoscopy (LPS) in the Treatment of Endometrial Cancer
title_full_unstemmed Survival Impact of Robotic-Assisted Laparoscopy (RAL) vs. Conventional Laparoscopy (LPS) in the Treatment of Endometrial Cancer
title_sort Survival Impact of Robotic-Assisted Laparoscopy (RAL) vs. Conventional Laparoscopy (LPS) in the Treatment of Endometrial Cancer
dc.creator.none.fl_str_mv Delso, Vanesa
Sánchez del Hoyo, Rafael
Sánchez Barderas, Lucía
Gracia, Myriam
Baquedano, Laura
Martínez Maestre, María A
Fasero, María
Coronado Martín, Pluvio Jesús
author Delso, Vanesa
author_facet Delso, Vanesa
Sánchez del Hoyo, Rafael
Sánchez Barderas, Lucía
Gracia, Myriam
Baquedano, Laura
Martínez Maestre, María A
Fasero, María
Coronado Martín, Pluvio Jesús
author_role author
author2 Sánchez del Hoyo, Rafael
Sánchez Barderas, Lucía
Gracia, Myriam
Baquedano, Laura
Martínez Maestre, María A
Fasero, María
Coronado Martín, Pluvio Jesús
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv Complex surgical
Endometrial carcinoma
Laparoscopy
Morbidity
Obesity
Robotic-assisted laparoscopy
Survival
Ciencias Biomédicas
Ginecología y obstetricia
32 Ciencias Médicas
3201.08 Ginecología
topic Complex surgical
Endometrial carcinoma
Laparoscopy
Morbidity
Obesity
Robotic-assisted laparoscopy
Survival
Ciencias Biomédicas
Ginecología y obstetricia
32 Ciencias Médicas
3201.08 Ginecología
description Objective: This study aimed to assess the impact of minimally invasive surgery (MIS) on survival rates in women diagnosed with endometrial cancer (EC). Methods: A retrospective cohort of 723 women who underwent MIS for EC was analyzed, with 468 having conventional laparoscopy (LPS) and 255 undergoing robotic-assisted laparoscopy (RAL). Sociodemographic features, tumor characteristics, and survival rates were examined for the entire cohort and in a propensity score-matched model. Results: In the overall sample, women who underwent RAL were older, had higher BMI, more comorbidities, and more aggressive tumors. After matching for age, BMI, comorbidities, ASA score, histological type, grade, myometrial invasion, LVSI, and FIGO stage, 482 patients (241 matched pairs) were selected. Disease-free survival (DFS) HR: 1, overall survival (OS) HR: 0.9, and specific survival related to EC (SS) HR: 0.15 were similar between the LPS and RAL groups. Conclusions: These findings suggest that the choice of surgical approach (robotic or laparoscopic) does not impact survival outcomes when matched in homogeneous groups.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025-01-27
2025
2025-01-27
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/128842
url https://hdl.handle.net/20.500.14352/128842
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869418149650104320
score 15,198674

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