P-148 A review of patients with endometrial cancer treated with robotic hysterectomy and bilateral salpingo-oophorectomy in local cancer unit

Published Date: 09th October 2024

Publication Authors: Kundodyiwa. T

Background
Historically, the standard treatment for endometrial cancer was total abdominal hysterectomy and bilateral salpingo-oophorectomy with or without pelvic lymphadenopathy. However, studies have shown this surgery had a high association of pain, bleeding, infection, and wound dehiscence especially in diabetic and obese patients. The da Vinci robot was first introduced to Gynaecology surgery in 2005 and the advantages of robotic surgery for gynaecological oncological procedures have quickly emerged with its association with fewer post operative complications and reduced inpatient hospital stay whilst maintaining survival rates.

Abstract
At Merseyside and West Lancashire NHS Trust, we introduced robotic hysterectomy for endometrial cancer in January 2023 and aim to review all cases performed as a local cancer unit including patient medical history, presenting symptoms, intra-operative practice, post-operative care including complications and compare inpatient hospital duration.

Methods
A quantitative study of 11 performed cases of robotic hysterectomy and bilateral salpingo-oophorectomy for diagnosed endometrial cancer provisional FIGO staging 1A.

Conclusions
Improved surgical technique resulting in advanced patient care for endometrial cancer with fewer post operative complications and improved patient experience with enhanced recovery.

Kundodyiwa, T. (2024). P-148 A review of patients with endometrial cancer treated with robotic hysterectomy and bilateral salpingo-oophorectomy in local cancer unit. BJOG: An International Journal of Obstetrics and Gynaecology. 131(S4), p.29. [Online]. Available at: https://dx.doi.org/10.1111/1471-0528.17941 [Accessed 24 December 2025]