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Invited Commentary
February 27, 2019

Harnessing Minimally Invasive Surgery to Improve Outcomes in Endometrial Cancer Surgery—The Robots Are Coming

Author Affiliations
  • 1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, New York
  • 2Herbert Irving Comprehensive Cancer Center, New York, New York
  • 3New York Presbyterian Hospital, New York
  • 4Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston
JAMA Surg. 2019;154(6):539. doi:10.1001/jamasurg.2018.5841

Minimally invasive hysterectomy is now considered the standard of care for the treatment of women with early-stage endometrial care.1,2 Compared with laparotomy, minimally invasive surgery (MIS) is associated with fewer complications, shorter hospital stays, and equivalent long-term survival.1,2 Minimally invasive hysterectomy can be performed either laparoscopically or as a robotically assisted procedure. Although large randomized trials are lacking, most studies have found that significant morbidity and mortality are similar for robotically assisted and laparoscopic hysterectomy for endometrial cancer.3 However, compared with laparoscopic hysterectomy, robotically assisted surgery is significantly more costly owing to capital expenditures for the robot, disposable instrumentation, and increased operating room time.4

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