Embracing Minimally Invasive Surgical Treatment for Endometrial Cancer

Large U.S. analysis indicates adoption of laparoscopic techniques has improved postoperative outcomes.

Although minimally invasive (laparoscopic, including robotic) approaches have been shown to improve perioperative outcomes for benign and malignant gynecologic conditions, the move away from open surgical approaches (laparotomy) was jump-started by the FDA's approval of robotic hysterectomy in 2005. To assess trends in surgical route and perioperative outcomes of treatment for endometrial cancer from 2008 through 2014, investigators queried a large database encompassing 750 U.S. hospitals (>12,000 women; mean age, 62; mean body-mass index [BMI], 35 m/k²; proportion with BMI ≥40, 27%).

During the study period, use of minimally invasive surgery rose from 24% to 71% of procedures (P<0.001), and the proportion of women with any complication fell…

Reviewing Author

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

Embracing Minimally Invasive Surgical Treatment for Endometrial Cancer

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Reviewing Author