ArticleJournal of minimally invasive gynecology2022
Determinants of Surgical Approach and Survival Among Women with Endometrial Carcinoma.
Article in Journal of minimally invasive gynecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- Robotic Surgery in Australasian Gynaecology: Results of a 2025 Cross-Sectional Survey.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Long-term survival outcomes of robotic-assisted versus traditional laparoscopy for the treatment of stage I endometrial cancer: a National Cancer Database analysis.Gynecologic oncology · 2026Article
- Predictive value of deep myometrial invasion for lymph node metastasis in low-grade endometrioid carcinoma and its implications for surgical decision-making.American journal of translational research · 2026Article
- Prognostic characteristics and recurrence patterns of grade 1 endometrial carcinoma: a large retrospective analysis of a tertiary center.Translational cancer research · 2025Article
- Patient-related factors for surgical modality selection in early-stage endometrial cancer: a retrospective comparative study of laparoscopic and robotic surgery.Journal of robotic surgery · 2025Article
- Assessment of the feasibility of same-day discharge following minimally invasive hysterectomy in the elderly population.Gynecologic oncology reports · 2023Article
- Should Endometrial Cancer Treatment Be Centralized?Biology · 2022Review
- Innovation in Cancer Surgery: Maintaining Focus on Survival as the Critical Outcome.Journal of minimally invasive gynecology · 2022Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
STUDY
objectiveTo investigate determinants of surgical approach among women with endometrial carcinoma (EC) and associations between surgical approach and overall survival (OS).
designRetrospective cohort.
settingThe National Cancer Database, 2010 to 2015. PATIENTS: A total of 140 470 patients with histologically confirmed EC who underwent hysterectomy.
interventionsPatients were grouped according to surgical approach. MEASUREMENTS AND MAIN
resultsA total of 140 470 patients with EC were included. Robotic-assisted laparoscopy (RAL) was the most common surgical approach (48.8%), followed by laparotomy (33.6%) and traditional laparoscopy (17.6%). Use of RAL increased over the study period, and the percentages of cases managed by laparotomy decreased. Older women, those with insurance, residing in ZIP codes with lower proportions of individuals who did not graduate from high school, and those treated at noncommunity cancer programs were less likely to undergo laparotomy than RAL, and non-white women, those diagnosed with high-grade histology, and those with advanced-stage EC were more likely to undergo laparotomy than RAL. Compared with RAL, all other surgical approaches were associated with worse OS (laparotomy: hazard ratio 1.21; 95% confidence interval, 1.18-1.25; traditional laparoscopy: hazard ratio 1.06; 95% confidence interval, 1.02-1.09). Significant effect modification of the surgical approach and OS relationship according to age, race, histology, stage, and adjuvant treatment was observed.
conclusionRAL increased in frequency over the study period and was associated with improved OS, supporting the continued use of RAL for EC management.
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