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Updated: Jun 21, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

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Robotic-Assisted vs Conventional Laparoscopy for Endometrial Cancer Staging: A Comparative Two-Center Study.

Marcin Januszewski¹, Laura Ziuzia-Januszewska², Tomasz Oleksik¹

¹Department of Gynecology, Oncological Gynecology and Reproduction, National Medical Institute of the Ministry of Interior and Administration, Warsaw, Poland.

Cancer Management and Research

|November 25, 2025

Summary

Robotic-assisted laparoscopy for endometrial cancer reduces blood loss and improves lymph node yield compared to conventional laparoscopy, despite longer operative times. This approach offers a safe and effective surgical alternative.

Keywords:

blood loss endometrial cancer laparoscopy robotic surgery

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Published on: August 19, 2025

Area of Science:

Gynecologic Oncology
Minimally Invasive Surgery
Surgical Technology

Background:

Endometrial cancer treatment often involves surgical intervention.
Laparoscopic hysterectomy is a standard approach.
Advancements in surgical robotics offer potential benefits.

Purpose of the Study:

To compare surgical outcomes between conventional laparoscopic and robotic-assisted laparoscopic approaches for endometrial cancer.
To evaluate differences in blood loss, operative time, and complication rates.
To assess the impact on lymph node retrieval.

Main Methods:

Retrospective, two-center case-control study.
Analysis of 136 patients undergoing total laparoscopic hysterectomy and lymphadenectomy for endometrial cancer (Jan 2020-Jan 2025).
Comparison of estimated blood loss, hemoglobin/hematocrit decrease, operative time, and complication rates.

Main Results:

Robotic-assisted surgery showed significantly lower blood loss (100 vs 200 mL) and reduced hemoglobin/hematocrit decrease.
Robotic procedures yielded a greater number of pelvic lymph nodes (median 4 vs 2).
Operative times were longer for robotic procedures (146 vs 120 min), with comparable complication and conversion rates.

Conclusions:

Robotic-assisted laparoscopic surgery is a safe and effective alternative for endometrial cancer.
It offers advantages in blood loss reduction and lymph node yield.
Further prospective studies are warranted to confirm findings and evaluate cost-effectiveness.