|
| Surgery | N | DRS versus OS | DRS versus LSC | Control | Surgeon | OR time (min.) | EBL (mL) | Hospital stay (days) | Lymph node count | Conversions | Bld Tx | Intraoperative complications | Postoperative complications |
|
| Uterine Cancer Staging | | | | | | | | | | | | | |
Veljovich et al. [83]
2006-2007
Swedish Medical CenterSeattle, WA | 25 versus 131
25 versus 4 | ✓ | ✓ | HC + CC
Pro-spective
HC + CC | DS | 283 versus 139
283 versus 255 | 67 versus 198
67 versus 75 | 1.7 versus 5.3
1.7 versus 1.2 | 18 versus 13
18 versus 20 | DRS: 1 | NR | NR | DRS: Major: 8%
Infection (1), cuff dehiscence (1)
Minor: 12%
OS: Major 21%
Cardiac (5), pulmonary (5), renal (4), CVA (1), infection (3), wound dehiscence (9)
Minor: 8%
LSC: NR |
|
Gehrig et al. [84]
2005–2007
BMI ≥ 30
UNC | 49 versus 32 | | ✓ | HC | NR | 189 versus 215 | 50 versus 150 | 1.0 versus 1.3 | 31 versus 24 | DRS: 0
LSC: 3 | NR | DRS:
Enterotomy (1)
LSC: none | DRS: Major: 8%port-site hernia (3), cuff complication (1)
Minor 2%
LSC: Major 6% port-site hernia (1), cuff complication (1)
Minor 3% |
|
Boggess et al. [85]
2005–2007
UNC | 103 versus 138
103 versus 81 | ✓ | ✓ | HC
HC | DS
SS | 191 versus 146
191 versus 213 | 75 versus 266
75 versus 146 | 1 versus 4.4
1 versus 1.2 | 33 versus 15
33 versus 23 | DRS: 2.8%
LSC: 3.7% | DRS: 1%
OS: 1.4%
LSC: 2.5% | DRS: bowel injury (1)
OS: enterotomy (1)
LSC:caval injury (1), bowel injury (1) | DRS: Major: 2%
Port-site hernia (1), PE (1)
Minor: 3%
OS: Major: 8%
CVA (1), ileus + readmission (7), DVT (2), PE (1), respiratory failure (1)
Minor: 21%
LSC: Major: 5%
port-site hernia (1), ileus readmission (1), vaginal dehiscence (1), abscess (1)
Minor: 5% |
|
Bell et al. [86]
2005–2007
Sanford Clinic, Sioux Falls, SD | 40 versus 40
40 versus 30 | ✓ | ✓ | HC + CC
Retro-spective
HC + CC | SS
SS | 184 versus 209
184 versus 171 | 166 versus 316
166 versus 253 | 2.3 versus 4.0
2.3 versus 4.0 | 17 versus 14
17 versus 17 | NR | DRS: 5%
OS: 15%
LSC: 10% | DRS: None
OS: genital femoral n. damage (1)
LSC: caval injury (1) | DRS: 8%
Port-site hernia (1), re-operation for bleeding (1), delayed void (1)
OS: 25%
Ileus (5), wound infection (2), lymphedema (1), cuff hematoma (1), incisional hernia (1)
LSC: 23%
Wound infection (3), DVT (1), cuff dehiscence (1), superficial phlebitis (1), A-fib (1) |
|
DeNardis et al. [87]
2006-2007
Florida Hospital Cancer Institute | 56 versus 106 | ✓ | | HC
Retro-spective | DS
| 177 versus 79
| 105 versus 241
| 1.0 versus 3.2
| 19 versus 18
| DRS: 5.4%
| 0% versus 9%
| None
| DRS: 20%
respiratory failure (1), ileus (1), fever (2), atelectasis (1), wound complication (1), cuff hematoma/separation (4), UTI (1)
OS: 61%
fever (17), anemia (13), Ileus (4), ARF (2), PE (1), colitis (1), urinary retention (2), thrush (1), UTI (4), atelectasis (4), wound complication (13), lymphocele (1), cuff hematoma/separation (2) |
|
Seamon et al. [88]
2006–2008
OU | 105 versus 76 | | ✓ | HC
Pro-spective | SS | 242 versus 287 | 100 versus 250 | 1 versus 2 (med.) | 31 versus 33 | DRS: 12%
LSC: 26% | 3% versus 13% | 3 versus 2
DRS: vessel injury (1), GI injury (2) versus OS: nerve injury (1),urinary tract injury (1) | DRS: 9%
port-site herniation (1), cardiac (1), pulmonary (1), other (5)
LSC: 10%
DVT (1), cardiac (1), neurologic (1), other (3) |
|
Seamon et al. [89]
2006 –2008
BMI ≥ 30
OU + UAB
Matched: BMI + surgeon 1 : 2 | 109 versus 191 | ✓ | | HC
Retro- spective | SS | 228 versus 143 | 109 versus 394 | 1 versus 3 | 25 versus 24 | DRS: 15.6% | 2% versus 9% | 1 versus 2
DRS: GI injury (1) versus OS: vessel injury (1), GI injury (1) | DRS: 10%
cardiac (1), pulmonary (2), GI (2), urologic (1), fever (1), fistula (1), bleeding (1), other (3)
OS: 26%
DVT (1), cardiac (2), pulmonary (2), GI (19), urologic (2), (neurologic (1), fever (4), ARF (3), opiated OD (1), parasthesia (2), arrest (1), death (1)Wound complications: 11% versus 27% |
|
Jung et al. [80]
2006–2009
Korea | 28 versus 56
28 versus 25 | ✓ | ✓ | CC
CC
Pro-specitve | SS
SS | 193 versus 187
193 versus 165 | NR | 7.9 versus 10.8
7.9 versus 7.7 | 21 versus 24
21 versus 18 | none | DRS: 14%
OS: 43%
LSC: 16% | DRS: none
OS: 1 vessel injury
LSC: none | DRS: 7%
pelvic infection (2)
OS: 23%
uretral stricture (1), pelvic infection (2), ileus (1), incisional hernia (1), wound dehiscence (6), lymphocele (1), lymphedema (1)
LSC: 8%
Pelvic infection (2) |
|
Cardenas-Goicoechea et al. [90]
2007–2010
U Penn | 102 versus 173 | | ✓ | HC
Retro-spective | SS | 237 versus 178 | 109 versus 187 | 1.9 versus 2.3 | 22 versus 23 | DRS: 1%
LSC: 5.2% | 2.9% versus 1.7% | DRS: 2GI injury (2)
LSC: 6
Urinary tract injury (6)Higher rates of uretral injury in LSC | DRS: Major (2%)
PE (1), enterocutaneous fistula (1)
DRS: Minor 8%: lymphocele (1), UTI (2), cuff dehiscence (1), abscess (2), incsional hernia (1), ileus (1)
LSC: Major (0%)
Minor 8%: lymphocele (3), UTI (1), Pna (2), wound seroma (2), cuff cellulitis (2), SBO (1), hematoma (1), port-site abscess (1) |
|
Lim et al. [91]
2008-2009
Center of HopeReno, Nevada | 56 versus 36
56 versus 56 | ✓ | ✓ | HC
HC
Pro-spective | SS Initial exp
SSInitial exp | 163 versus 137
163 versus 192 | 89 versus 266
89 versus 209 | 1.6 versus 4.9
1.6 versus 2.6 | 27 versus 56
27 versus 45 | DRS: 1.8%
LSC:7.1% | DRS: 0%
OS: 3%
LSC: 0% | DRS: 0OS: 0
LSC: 13% (7)
obturator n. injury (3), cystotomy (2), enterotomy (1), vessel injury (1) | DRS: Major: 5%
PE (1), abscess (1), perforated gastric ulcer (1)
Minor: 9%
OS: Major: 14%
Abscess/sepsis (1), fistula (1), pna (1), PE (1), hypertensive crisis (1)
Minor: 3%
LSC: Major: 11%
Fistula (1), obturator palsy (3), bacteremia (1), DVT (1)
Minor: 4% |
|
Lim et al. [82]
2008–2010
Center of Hope Reno, Nevada | 122 versus 122 | | ✓ | HC
Pro-spective | SSInitial ex | 147 versus 187 | 81 versus 207 | 1.5 versus 3.2 | 25 versus 43 | DRS: 0.8%
LSC: 6.6% | DRS: 0%
LSC: 2.5% | DRS: 0.8%
Enterotomy (1)
LSC: 6%
Obturator n. injury (3), cystotomy (2), enterotomy (1), vessel injury (1) | DRS: Major: 4%
PE (1), abscess (1), perforated gastric ulcer (1), bowel perforation (1)
Minor: 6%
LSC: Major: 10%
Fistula (1), obturator palsy (3), bacteremia (1), DVT (1), richter hernia (1), CVA (1)
Minor: 2% |
|
Paley et al. [7]
2006–2009
Swedish Medical CenterSeattle, WA | 377 versus 131 | ✓ | | HC
Pro-spective | DS | 184 versus 139 | 47 versus 198 | 1.4 versus 5.3 | 16 versus 13 | DRS: 3.5% | DRS: 0.5%
OS: 0.8% | DRS: 0.5%
Vessel injury (1), cystotomy (1)
OS: 3%
Uretral injury/ARF | DRS: 5%
cardiac (1), pulmonary (3), DVT/PE (3), infection (4), labile bld sugar (2), ileus/SBO (2), chylous ascites (1), cuff dehiscence (4)
OS: 17%
Cardiac (5), pulmonary (1), DVT/PE (1), infection (6), wound dehiscence (9) |
|
