| アブストラクト | Early-stage endometrial cancer can be cured surgically using three techniques: laparotomy, laparoscopic surgery, and robotic-assisted surgery. In this retrospective study, we used 4 years of data from the Japanese Diagnosis Procedure Combination to analyze perioperative sequelae for each surgical procedure. Patients with early-stage endometrial cancer were classified into three groups: laparotomy, laparoscopic surgery, and robotic-assisted surgery. The number of robotic-assisted surgeries is increasing, but hospitals with low surgical volumes performed laparotomy at a rate of 57.6%, while hospitals with higher surgical volume tended to perform fewer laparotomies and more laparoscopic and robotic-assisted surgeries. Compared with the laparotomy group, the in-hospital risk ratios and 95% confidence intervals for postoperative sequelae were 0.28 (0.18-0.44) and 0.39 (0.23-0.69) in the laparoscopic and robotic-assisted surgery groups, respectively (P = 0.001 for all). Regarding blood transfusion treatment, the incidence rate ratios were lower for laparoscopic and robotic-assisted surgery than for laparotomy (P < 0.001 for all), even after multivariable analysis. In conclusion, in early-stage endometrial cancer, laparotomy had the highest incidence of perioperative sequelae compared to laparoscopic surgery and robotic-assisted surgery. |
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| ジャーナル名 | Journal of UOEH |
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| Pubmed追加日 | 2026/9/3 |
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| 投稿者 | Aoyama, Yoko; Watanabe, Fumio; Tokutsu, Kei; Kinjo, Yasuyuki; Muramatsu, Keiji; Okawara, Makoto; Kurita, Tomoko; Yoshino, Kiyoshi; Fushimi, Kiyohide; Matsuda, Shinya |
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| 組織名 | Department of Preventive Medicine and Community Health, School of Medicine,;University of Occupational and Environmental Health, Japan.;Department of Obstetrics and Gynecology, University of Occupational and;Environmental Health, Japan.;Center for Next Generation of Community Health, Chiba University Hospital, Japan.;Ouchino Clinic Medical Corporation, Japan.;Department of Health Policy and Informatics, Graduate School of Medical and;Dental Sciences, Institute of Science, Tokyo, Japan.;Department of Nursing, Fukuoka International University of Health and Welfare,;Japan.;Department of Environmental Epidemiology, Institute of Industrial Ecological;Sciences, University of Occupational and Environmental Health, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/42686520/ |
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