Evidence map›Paper›PMID 38874351›Full record

ArticleActa obstetricia et gynecologica Scandinavica2024

Morbidity following robot-assisted surgery in a gynecological oncology setting: A cohort study.

Algirdas Markauskas, Jan Blaakær, Koen Josef Traen, Gudrun Astrid Neumann, Wu Chunsen, Lone Kjeld Petersen

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Algirdas MarkauskasDepartment of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-4145-9120
Jan BlaakærDepartment of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark.
Koen Josef TraenDepartment of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark.
Gudrun Astrid NeumannDepartment of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark.ORCID 0000-0003-1946-4561
Wu ChunsenResearch Unit, Department of Clinical Research in Gynecology and Obstetrics, University of Southern Denmark, Odense, Denmark.
Lone Kjeld PetersenDepartment of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of the study was to provide a comprehensive description of perioperative morbidity associated with robot-assisted surgery (RAS) in a gynecological oncology setting in order to improve the preoperative counseling of women and support shared decision-making. MATERIAL AND

methodsAll women scheduled for intended RAS between January 2015 and December 2022 were prospectively included in an electronic morbidity database for the analyses of perioperative complications.

resultsIn total, 2225 women were included. Sixty-four patients (2.9%) experienced an intraoperative complication. Intraoperative complications were associated with a higher rate of conversion to laparotomy (15.6% vs. 1.8%, p < 0.001), a higher rate of major postoperative morbidity (9.3% vs. 2.4%, p < 0.001), and a higher rate of reoperation (9.3% vs. 1.7%, p < 0.001), compared to cases without intraoperative complications. Thirty-day postoperative morbidity was evaluated according to the Memorial Sloan-Kettering Cancer Center Surgical Secondary Events Grading System. Grade 3-5 events were considered major. A total of 57 patients (2.6%) experienced a major event after surgery, postoperative rupture of the vaginal vault being the most common complication requiring surgical intervention. Conversion to laparotomy occurred in 49 cases (2.2%) and was associated with higher intraoperative blood loss (300 mL vs. 25 mL, p < 0.001), a higher rate of postoperative major events (20.4% vs. 2.2%, p < 0.001), and a higher rate of reoperation (11.8% vs. 1.6%, p < 0.001).

conclusionsOur study demonstrates low rates of major perioperative morbidity and conversion to laparotomy after RAS performed by trained high-volume surgeons in a gynecological oncology setting.

Indexed as

Genital Neoplasms, FemaleGynecologic Surgical ProceduresPostoperative ComplicationsRobotic Surgical ProceduresAdultAgedCohort StudiesFemaleHumansIntraoperative ComplicationsMiddle AgedProspective StudiesReoperationcervical cancerendometrial cancerhysterectomymorbiditymortalityoncologysurgical techniques

Identifiers

PMID38874351
PMCPMC11266637

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.