LAUSR

Study Objective Goal of this study is to present a cases series endorsing same-day discharge after minimally invasive robotic surgery for endometrial cancer and to determine factors that affect the length of hospital stay. Design Retrospective study is comprised of all cases (N = 50) by a single gynecologic oncologist (July 1, 2017 to January 30, 2019) that involved a robotic total hysterectomy (RTH) with bilateral salpingo-oophorectomy (BSO) and total pelvic lymphadenectomy for endometrial cancer. Categorical and continuous variables were analyzed using the Chi-square test and unpaired t-test respectively. Bivariate correlation analysis was utilized to determine risk factor influence on length of stay. Setting This study was conducted in El Paso, TX, a borderland city primarily comprised of a Hispanic population. Patients or Participants 50 patients who underwent robotic total hysterectomy with bilateral salpingo-oophorectomy and total pelvic lymphadenectomy for surgical treatment of endometrial cancer. Interventions N/A. Measurements and Main Results Total of 50 women with a median age of 62 years-old underwent RTH/BSO and surgical staging, and 62% (31) of patients were successfully discharged the same day ( 2 hrs.), or increased surgical complexity (para-aortic lymphadenectomy and/or omentectomy). Conclusion Same-day discharge is feasible following minimally invasive robotic surgery for endometrial cancer, despite older age, multiple comorbidities, later surgery time of day, and higher surgical stage.