The Journal of Minimally Invasive Gynecology
Volume 17, Issue 2 , Pages 180-185 , March 2010

Robotic Pelvic and Aortic Lymphadenectomy for Endometrial Cancer: The Console Surgeon's Perspectives on Surgical Technique and Directing the Assistant

  • Leigh G. Seamon, DO, MPH

      Affiliations

    • Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio
    • ,
  • David E. Cohn, MD

      Affiliations

    • Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio
    • ,
  • Debra L. Richardson, MD

      Affiliations

    • Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio
    • ,
  • Jason D. Hurt, MD

      Affiliations

    • Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio
    • ,
  • Edward C. Nickerson

      Affiliations

    • Center for Robotic and Computer Assisted Surgery, The Ohio State University College of Medicine, Columbus, Ohio
    • ,
  • Jeffrey M. Fowler, MD

      Affiliations

    • Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio
    • Corresponding Author InformationCorresponding author: Jeffrey M. Fowler, MD, The Ohio State University College of Medicine, M-210 Starling-Loving, 320 West Tenth Ave, Columbus, Ohio 43210-1228.

Received 27 July 2009 ,Accepted 4 November 2009.

References 

  1. American College of Obstetricians and Gynecologists, practice bulletin, clinical management guidelines for obstetrician-gynecologists, number 65, August 2005: Management of endometrial cancer. Obstet Gynecol. 2005;106:413–425
  2. Orr JW, Taylor PT. Surgical Mangement of endometrial cancer: how much is enough?. Gynecol Oncol. 2008;109:1–3
  3. Orr JW, Holimon JL, Orr PF. Stage I corpus cancer: is teletherapy necessary?. Am J Obstet Gynecol. 1997;176:777–789
  4. Straughn JM, Huh WK, Kelly FJ, et al. Conservative management of stage I endometrial carcinoma after surgical staging. Gynecol Oncol. 2002;84:194–200
  5. Podratz KC, Mariani A, Webb MJ. Staging and therapeutic value of lymphadenectomy in endometrial cancer. Gynecol Oncol. 1998;70:163–164
  6. Mariani A, Dowdy SC, Cliby WA, et al. Prospective assessment of lymphatic dissemination in endometrial cancer: A paradigm shift in surgical staging. Gynecol Oncol. 2008;109:11–18
  7. Barakat RR, Lev G, Hummer AJ, et al. Twelve-year experience in the management of endometrial cancer: a change in surgical and postoperative radiation approaches. Gynecol Oncol. 2007;105:150–156
  8. Kuek AS, Gossner G, Burke WM, Reynolds RK. Laparoscopic technology for the treatment of endometrial cancer. Int J Gynaecol Obstet. 2006;93:176–181
  9. Field JB, Benoit MF, Dinh TA, Diaz-Arrastia C. Computer-enhanced robotic surgery in gynecologic oncology. Surg Endosc. 2007;21:244–246
  10. Veljovich DS, Paley PJ, Drescher CW, Everett EN, Shah C, Peters WA. Robotic surgery in gynecologic oncology: program initiation and outcomes after the first year with comparison with laparotomy for endometrial cancer staging. Am J Obstet Gynecol. 2008;689:679.e1-679.e10
  11. Gehrig PA, Cantrell LA, Shafer A, Abaid LN, Mendivil A, Boggess JF. What is the optimal minimally invasive surgical procedure for endometrial cancer staging in the obese and morbidly obese woman?. Gynecol Oncol. 2008;111:41–45
  12. Reynolds RK, Burke W, Advincula AP. Preliminary experience with robot-assisted laparoscopic staging of gynecologic malignancies. JSLS. 2005;9:149–158
  13. Marchal F, Rauch P, Vandromme J, et al. Telerobotic-assisted laparoscopic hysterectomy for benign and oncologic pathologies: Initial clinical experience with 30 patients. Surg Endosc. 2005;19:826–831
  14. Boggess JF, Gehrig PA, Cantrell L, 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;199:360.e1–360.e9
  15. Seamon LG, Cohn DE, Valmadre S, et al. Robotic hysterectomy and lymphadenectomy for endometrial cancer: technical aspects and details of success—the Ohio State University method. J Robotic Surg. 2008;2:71–76
  16. Seamon LG, Cohn DE, Richardson DL, et al. Robotic hysterectomy and pelvic-aortic lymphadenectomy for endometrial cancer. Obstet Gynecol. 2008;112:1207–1213
  17. Seamon LG, Cohn DE, Henretta MS, et al. Minimally invasive comprehensive surgical staging for endometrial cancer: robotics or laparoscopy?. Gynecol Oncol. 2009;113:36–41
  18. Naumann RW, Coleman RL. The use of adjuvant radiation therapy in early endometrial cancer by members of the Society of Gynecologic Oncologists in 2005. Gynecol Oncol. 2007;105:7–12
  19. Malur S, Possover M, Michels W, Schneider A. Laparoscopic-assisted vaginal versus abdominal surgery in patients with endometrial cancer—a prospective randomized trial. Gynecol Oncol. 2001;80:239–244
  20. Kuek AS, Gossner G, Burke WM, Reynolds RK. Laparoscopic technology for the treatment of endometrial cancer. Int J Gynaecol Obstet. 2006;93:176–181
  21. Seamon LG, Fowler JF, Richardson DL, et al. A detailed analysis of the learning curve: robotic hysterectomy and pelvic-aortic lymphadenectomy for endometrial cancer. Gynecol Oncol. 2009;162–167
  22. Seamon LG, Bryant SA, Rheaume PS, et al. Comprehensive surgical staging for endometrial cancer in obese patients: comparing robotics and laparotomy. Obstet Gynecol. 2009;114:16–21

 The authors declare that there are no conflicts of interest.

PII: S1553-4650(09)01247-3

doi: 10.1016/j.jmig.2009.11.006

The Journal of Minimally Invasive Gynecology
Volume 17, Issue 2 , Pages 180-185 , March 2010

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