scholarly journals Robotic Hysterectomy for Cancer and Benign Pathology

Author(s):  
Adrian Kohut ◽  
Leah Goldberg ◽  
Alexandre Buckley De Meritens
2017 ◽  
Vol 24 (7) ◽  
pp. S102-S103
Author(s):  
D. El-Neemany ◽  
N. Pursell ◽  
P. Greenberg ◽  
E. Curcio ◽  
A. Giglio ◽  
...  

2020 ◽  
Vol 14 (1) ◽  
pp. 45-48
Author(s):  
Faiza Abrar ◽  
Adnan Riaz ◽  
Kaukab Sultana ◽  
Tariq Feroz Khawaja

Background: Pancreatic carcinoma is a disease with high modality and has a high incidence of recurrence after surgical resection. The prognosis depends on early diagnosis and treatment. Numerous international studies have reported use of CA 19-9 in diagnosis of pancreatic cancer. We planned this study to validate role of CA 19-9 in our local population. The objective of this study is to correlate raised serum CA 19-9 levels in patients with pancreatic tumours to distinguish between benign and malignant pancreatic disease. Subjects and methods: The present study is a validation study. Thirty-five patients with diagnosis of pancreatic tumor on radiological imaging were included after their informed consent. Data collection forms were filled, blood samples were taken and serum CA 19-9 was estimated by ELISA in Biochemistry department, SIMS. Histopathology samples were collected at time of surgical resection, sent to pathology departments of respective hospitals and histopathological reports collected. All data was collected and analysed by using descriptive method. The study was conducted in Biochemistry department of PGMI and SIMS, Lahore from May 2015 till June 2016. Results: Out of 35 patients, nineteen (54.3%) were female and sixteen (45.7%) were male. Thirty [85.7%] patients were between third to seventh decades of their life. The mean age range around 47.28. Thirty-four patients had malignant tumor and 1 benign on histopathology. CA 19-9 was raised (>37 U/ml) in 33 out of 34 patients with malignant pathology. The patient with benign pathology had CA 19-9 level <37U/ml (the cut off value). Head of pancreas was the commonest site in 32 patients (65%) for tumour occurrence. Total 28 (82%) patients had adenocarcinoma as the histological type of pancreatic tumour. Cholangiocarcinoma in Periampullary region of pancreas was second in frequency, 4 patients (12%). CA 19-9 shows sensitivity of 97% and specificity of 100% to diagnose carcinoma of pancreas in patients with pancreatic tumour. CA 19-9 has 100% positive predictive value to diagnose benign tumour and 50% negative predictive value to diagnose malignant tumours. Conclusion: Raised levels of CA 19-9 has an important role in diagnosis of patients with pancreatic tumour to differentiate between benign and malignant pathology.


2019 ◽  
Author(s):  
Jae Heon Kim ◽  
Sung Ryul Shim ◽  
Hyun Young Lee ◽  
Jae Joon Park ◽  
Yash Khandwala ◽  
...  

2009 ◽  
Vol 200 (4) ◽  
pp. 368.e1-368.e7 ◽  
Author(s):  
Massimo Candiani ◽  
Stefano Izzo ◽  
Alessandro Bulfoni ◽  
Jennifer Riparini ◽  
Stefania Ronzoni ◽  
...  

2021 ◽  
pp. ijgc-2020-002192
Author(s):  
Serena Cappuccio ◽  
Yanli Li ◽  
Chao Song ◽  
Emeline Liu ◽  
Gretchen Glaser ◽  
...  

ObjectiveTo evaluate trends in outpatient versus inpatient hysterectomy for endometrial cancer and assess enabling factors, cost and safety.MethodsIn this retrospective cohort study, patients aged 18 years or older who underwent hysterectomy for endometrial cancer between January 2008 and September 2015 were identified in the Premier Healthcare Database. The surgical approach for hysterectomy was classified as open/abdominal, vaginal, laparoscopic or robotic assisted. We described trends in surgical setting, perioperative costs and safety. The impact of patient, provider and hospital characteristics on outpatient migration was assessed using multivariate logistic regression.ResultsWe identified 41 246 patients who met inclusion criteria. During the time period studied, we observed a 41.3% shift from inpatient to outpatient hysterectomy (p<0.0001), an increase in robotic hysterectomy, and a decrease in abdominal hysterectomy. The robotic hysterectomy approach, more recent procedure (year), and mid-sized hospital were factors that enabled outpatient hysterectomies; while abdominal hysterectomy, older age, Medicare insurance, black ethnicity, higher number of comorbidities, and concomitant procedures were associated with an inpatient setting. The shift towards outpatient hysterectomy led to a $2500 savings per case during the study period, in parallel to the increased robotic hysterectomy rates (p<0.001). The post-discharge 30-day readmission and complications rate after outpatient hysterectomy remained stable at around 2%.ConclusionsA significant shift from inpatient to outpatient setting was observed for hysterectomies performed for endometrial cancer over time. Minimally invasive surgery, particularly the robotic approach, facilitated this migration, preserving clinical outcomes and leading to reduction in costs.


2016 ◽  
Vol 23 (4) ◽  
pp. 603-609 ◽  
Author(s):  
Stefano Bogliolo ◽  
Simone Ferrero ◽  
Chiara Cassani ◽  
Valentina Musacchi ◽  
Francesca Zanellini ◽  
...  

2012 ◽  
Vol 19 (6) ◽  
pp. S122
Author(s):  
M. Nicosia ◽  
J. Zuk ◽  
S. Sorin ◽  
K.J. Song ◽  
M. Tsai ◽  
...  
Keyword(s):  

2016 ◽  
Vol 74 (9) ◽  
pp. e37-e38
Author(s):  
J.R. Zuniga ◽  
F.C. Williams ◽  
D. Petrisor

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Mary Yurashevich ◽  
Ashraf S. Habib

2021 ◽  
Vol 163 ◽  
pp. S27-S28
Author(s):  
Jiheon Song ◽  
Tien Le ◽  
Laura Hopkins ◽  
Michael Fung-Kee-Fung ◽  
Krystine Lupe ◽  
...  

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