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1299 Comparison of quality of life of polish patients between different types of lymphadenectomy in robotic surgery of endometrial cancer
  1. Magdalena Bizon1,2,3,
  2. Maciej Olszewski1,2,3,
  3. Agnieszka Grabowska3,
  4. Krzysztof Mawlichanów3,4,
  5. Agnieszka Cera3 and
  6. Radovan Pilka3,5
  1. 1LUX MED Oncology Hospital, Warsaw, Poland
  2. 2Lazarski University, Warsaw, Poland
  3. 3Neohospital, Cracow, Poland
  4. 4Andrzej Frycz Modrzewski Krakow University, Cracow, Poland
  5. 5Faculty Hospital Olomouc, Olomouc, Czech Republic


Introduction/Background Endometrial cancer is one of the most common gynecological neoplastic diseases in Poland. According to ESGO recommendations, simple hysterectomy with bilateral salpingoophorectomy and bilateral sentinel lymph node detection in minimal invasive approach should be performed. However, if the sentinel lymph node is not visualized, complete pelvic lymphadenectomy should be performed.

The aim of the study was to compare quality of life of patients after removal of sentinel lymph nodes and complete pelvic lymphadenectomy with robot-assisted surgery.

Methodology The analysis was based only on 92 patients with a diagnosis of endometrial cancer with a mean age 61.24±10.31 (range 34–83) years. Mean BMI was 31.21±7.06 (range 18–41.5) kg/m2. The analyzed population was divided into two groups: in one, radical hysterectomy with sentinel lymph nodes was performed (66.3%); the second underwent complete pelvic lymphadenectomy (33.7%). In all, 32.6% of the patients had undergone abdominal surgery in the past. All patients assessed their quality of life through the use of questionnaires before the surgery, and then 2 weeks, 6 weeks and 6 months after the hospitalization.

Results There was no statistically significant difference between quality of life before and after the surgery (p>0.05).

Sexual quality of life was statistically significantly lower 2 weeks after the surgery than before the operation and higher after 6 weeks and 6 months (p<0.05). No correlation between age, BMI, type of lymphadenectomy or quality of life was observed (p>0.05). Operation time and blood loss were not statistically significantly associated with quality of life after the surgery (p>0.05). However, higher level of quality of life before the operation was correlated with higher blood loss in the case of completed lymphadenectomy (p<0.05).

Conclusion Robotic surgery is a novel method of minimally invasive surgery in Poland. No difference in quality of life was found between the two types of lymphadenectomy performed using robot-assisted surgery.

Disclosures The authors declare no conflict of interest.

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