Robot-assisted radical hysterectomy—perioperative and survival outcomes in patients with cervical cancer compared to laparoscopic and open radical surgery
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Grigor Gortchev & Slavcho Tomov & Latchesar Tantchev & Angelika Velkova & Zdravka Radionova
- چاپ و سال / کشور: 2011
Description
this study, perioperative outcomes and survival data in patients with early cervical cancer operated with three surgical methods: robot-assisted, laparoscopic and open, are to be analyzed. From January 2006 to May 2010, 294 patients with T1â1 cervical cancer were studied retrospectively. Robot-assisted radical hysterectomy (RARH) was performed in 73 (24.8%) of them, laparoscopic-assisted radical vaginal hysterectomy (LARVH) in 46 (15.6%) and, in 175, (59.5%), abdominal radical hysterectomy (ARH). Mean hospital stay of patients with RARH and LARVH was 4.1± 0.7 and 4.8±0.5, respectively, and of those with ARH, 9.6± 1.0 days (p=0.001). Mean operative time was 152.2± 26.5 min for the robotic group as it was significantly shorter in comparison with the laparoscopic group (232.1±61.7 min) and laparotomy group (168.2±31.1 min) (p=0.001). The application of Cox regression analysis found that the regional lymph node metastases were of significant value for diseasefree survival (DSF), and the nodal status and recurrence presence—for overall survival (OS). Type of surgical procedure did not influence DSF, as well as OS. RARH has been established to be a safe procedure with proven advantages in regard to operative time and hospital stay. The absence of significant differences in DSF and OS is a substantial reason to continue, from an oncologic point of view, the application of this method on patients with T1â1 cervical cancer.
Gynecol Surg DOI 10.1007/s10397-011-0683-7 Received: 25 March 2011 / Accepted: 25 May 2011
