PT  - JOURNAL ARTICLE
AU  - HYUN JUNG LEE
AU  - YOON HEE LEE
AU  - GUN OH CHONG
AU  - DAE GY HONG
AU  - YOON SOON LEE
TI  - Robotic-assisted Transperitoneal Infrarenal Para-aortic Lymphadenectomy for Gynecological Malignancies: Comparison with a Laparoscopic Approach
DP  - 2017 Dec 01
TA  - Anticancer Research
PG  - 7087--7093
VI  - 37
IP  - 12
4099  - http://ar.iiarjournals.org/content/37/12/7087.short
4100  - http://ar.iiarjournals.org/content/37/12/7087.full
SO  - Anticancer Res2017 Dec 01; 37
AB  - Background/Aim: We evaluated the clinical feasibility and surgical outcomes of robotic-assisted transperitoneal infrarenal para-aortic lymphadenectomy (TIPAL) in patients with gynecological malignancies. Patients and Methods: The perioperative outcomes in 90 patients with gynecological malignancies who underwent laparoscopic (n=43) or robotic-assisted (n=47) TIPAL were compared retrospectively. Results: The operative time for pelvic and total lymphadenectomy were significantly shorter in the robotic-assisted approach, whereas the time for infrarenal para-aortic lymphadenectomy did not differ statistically. In contrast, the number of infrarenal para-aortic lymph nodes was significantly higher in the robotic-assisted approach. We compared the time per retrieved lymph node in both approaches, and those for pelvic, infrarenal para-aortic, and total lymphadenectomy were significantly shorter in the robotic-assisted approach. Conclusion: In our study, the robotic-assisted TIPAL took less time to retrieve a lymph node than the laparoscopic approach. The robotic-assisted approach for TIPAL is feasible for the staging and treatment of patients with gynecological malignancies.