TABELLA 1.Studi retrospettivi di confronto Laparoscopia (LPS) vs Robotica (R) nel Ca. endometrio early
stage
Tempi operatori Mediana (min) EBL Mediana (ml) Ln Mediana (n) Degenza Mediana (gg) LPS R P LPS R P LPS R P LPS R P Bell 2008 171.1 184 NS 253 166 NS 17.1 17 NS 2 2.3 NS Hokestra 2009 270 195 NS 150 50 NS 16 17 NS 1 1 NS Boggess’08 213.4 146.5 .0001 145.8 75.5 .0001 23.1 32.9 .0001 1.2 1 NS Gehrig’09 215 189 .0004 150 50 <.0001 24/32 31.4/49 .004 1.27 1.02 NS Seamon’09 336 305 .0001 250 100 .001 22 21 NS 2 1 .0001 Cardenas Goicoechea’10 178 237 .0001 187 109 .0001 23 22 NS 2.31 1.88 NS
TABELLA 2. Studi retrospettivi di confronto Laparotomia (LPT) vs Robotica (R) nel Ca. endometrio early
stage
Tempi operatori Mediana (min) EBL Mediana (ml) Ln Mediana (n) Degenza Mediana (gg) LPT R P LPT R P LPT R P LPT R P Bell 2008 108.6 184 .001 316.8 166 <.01 14.9 17 NS 4 2.3 <.001 Hokestra 2009 202 195 .023 500 50 .0001 17 17 NS 3 1 .0001 Boggess 2008 191.2 146.5 <.001 266 75.5 <.001 14.9 32.9 <.001 3.6 1.7 <.001 De Nardis 2008 79 177 .001 241 105 <.0001 18.6 18 NS 3.2 1 <.0001 Veljovich 2008 139 283 .0001 197.6 66.6 .0001 13.1 17.5 NS 127 h 40.3 h .0001
Tabella 3. Studi confronto Chirurgia Open vs Robotica in pazienti obese BMI maggiore di 30 Kg/m2
Nevadunsky 2010 Seamon 2009 ElSahwi 2012 Gehring 2008
Open Robot p Open Robot p Open Robot p LPS Robot p
N pts 43 66 191 109 155 150 32 49 BMI 37 38-‐9 ns 39.9 39.6 .03 34,5 33 .2 35 37.5 NS Tempi operatori 134 204 <.05 143 228 .001 141 127 .0001 215 189 .0004 EBL (ml) 193 83 <.05 394 109 .001 119 185 .015 150 50 <.0001 N Ln/n pz 12 17 0.04 24 25 NS 20 20,3 NS 24 31.4 .004 Complicanze postop.
Infezione della ferita 8 0 <.01 44 10 0.003 5,2% 25% .003 6 5 NS Degenza (gg) 3.8 1.3 <.05 3 1 .001 4 1.5 .0001 1.27 1.02 <.0119