The role of robotic aortic lymphadenectomy in gynecological cancer: surgical and oncological outcome in a single institution experience.
BACKGROUND AND OBJECTIVE
This study aims to investigate the surgical outcomes observed in robotic transperitoneal aortic lymphadenectomy (AL) in gynecological cancer patients.


METHODS
Retrospective data were collected and analyzed on 71 patients undergoing robotic surgical procedures for gynecological cancers, including transperitoneal AL, between December 2014 and February 2018 at the Catholic University of the Sacred Heart, Rome, Italy.


RESULTS
Median age of the sample population was 50 years (range, 26-76 years). The median operative time was 210 minutes (range, 75-480 minutes), the median estimated blood loss was 50 ml (range, 20-300 ml). The number of para-aortic nodes removed was 12 (range, 7-43). In the whole series, 13 patients (18.3%) had at least one metastatic node. Overall, 10 patients (14.1%) experienced any grade early postoperative complications. Three patients experienced more than one complication. Three intraoperative complications occurred with two cases of vascular injury. Conversion to laparotomy was necessary for one patient (1.4%).


CONCLUSIONS
The present study shows the safety and adequacy of robotic transperitoneal AL as surgical staging step for gynecological cancers in terms of perioperative and postoperative outcomes.
['Gallotta|Valerio|V|http://orcid.org/0000-0003-4254-9379', 'Federico|Alex|A|', 'Gaballa|Khaled|K|http://orcid.org/0000-0001-7103-4521', "D'Indinosante|Marco|M|", 'Conte|Carmine|C|', 'Giudice|Maria Teresa|MT|', 'Naldini|Angelica|A|', 'Lodoli|Claudio|C|', 'Rotolo|Stefano|S|', 'Gallucci|Valeria|V|', 'Tortorella|Lucia|L|', 'Romanò|Bruno|B|', 'Scambia|Giovanni|G|', 'Ferrandina|Gabriella|G|']
D000328:Adult D000368:Aged D005260:Female D005500:Follow-Up Studies D005833:Genital Neoplasms, Female D006801:Humans D008197:Lymph Node Excision D008198:Lymph Nodes D008875:Middle Aged D010534:Peritoneal Neoplasms D011379:Prognosis D012189:Retrospective Studies D065287:Robotic Surgical Procedures D015996:Survival Rate
gynecological cancers innovative technologies in surgery minimally invasive surgery personalized medicine robotic surgery