Comparison of the Long-Term Oncological Outcomes Between the Initial Learning Period of Robotic and the Experienced Period of Laparoscopic Radical Hysterectomy for Early-Stage Cervical Cancer

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Gun Oh ChongYoon Soon Lee

Abstract

To compare the long-term oncological outcomes, complication rates, and recurrence patterns of robotic radical hysterectomy (RRH) with laparoscopic radical hysterectomy (LRH) for the treatment of early-stage cervical cancer. Between January 2008 and December 2013, 65 consecutive patients underwent RRH during the learning period, and 60 consecutive patients underwent LRH during the experienced period. Both groups were similar with respect to clinicopathologic characteristics. The mean operative time in the RRH group was significantly longer than that in the LRH group (277.8 ± 57.3 vs 199.6 ± 45.0 minutes; P < 0.0001). Postoperative complication rates were significantly higher in the RRH group than in the LRH group (47.7% vs 27.1%; P = 0.0188). No difference in the estimated disease-free survival rates was observed between the 2 groups (P = 0.3152); however, the estimated overall survival of RRH was lower than that of LRH with marginal significance (P = 0.0762). There was no significant difference in terms of recurrence pattern between the 2 groups (P = 0.7041). However, peritoneal recurrences occurred only in the RRH group. Despite RRH being performed by an experienced laparoscopic oncologist, RRH showed inferior long-term oncolo...Continue Reading

References

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Jan 29, 2011·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Nae Yoon ParkYoon Soon Lee
Oct 23, 2012·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Thumuluru Kavitha MadhuriSimon Butler-Manuel
Jun 12, 2013·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Gun Oh ChongYoon Soon Lee
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May 22, 2016·Psychological Science·Laura PritschetZachary Horne

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Citations

May 1, 2019·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Gabriele SiestoDomenico Vitobello
Oct 11, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Anna JacobChristhardt Kohler
Oct 20, 2020·Cancer Research and Treatment : Official Journal of Korean Cancer Association·Lan Ying LiSang Wun Kim
Jul 7, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·Igt BaetenC G Gerestein
Dec 29, 2020·Journal of Minimally Invasive Gynecology·Anna Jo Bodurtha SmithAmanda Nickles Fader
May 22, 2021·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Dimitrios NasioudisNawar A Latif

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