Impact of uterine manipulator on oncological outcome in endometrial cancer surgery.

American Journal of Obstetrics and Gynecology
Pablo Padilla-IserteSpanish Society of Gynecology and Obstetrics Spanish Investigational Network Gynecologic Oncology Group

Abstract

There are limited data available to indicate whether oncological outcomes might be influenced by the uterine manipulator, which is used at the time of hysterectomy for minimally invasive surgery in patients with endometrial cancer. The current evidence derives from retrospective studies with limited sample sizes. Without substantial evidence to support its use, surgeons are required to make decisions about its use based only on their personal choice and surgical experience. To evaluate the use of the uterine manipulator on oncological outcomes after minimally invasive surgery, for apparent early-stage endometrial cancer. We performed a retrospective multicentric study to assess the oncological safety of uterine manipulator use in patients with apparent early-stage endometrial cancer, treated with minimally invasive surgery. The type of manipulator, surgical staging, histology, lymphovascular space invasion, International Federation of Gynecology and Obstetrics stage, adjuvant treatment, recurrence, and pattern of recurrence were evaluated. The primary objective was to determine the relapse rate. The secondary objective was to determine recurrence-free survival, overall survival, and the pattern of recurrence. A total of 2661 wo...Continue Reading

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Citations

Oct 11, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Andra NicaSarah Elizabeth Ferguson
Feb 16, 2021·Minerva medica·Kemal GungordukIlker Kahramanoglu
Mar 14, 2021·Surgical Oncology·M Reyes Oliver-PerezAlvaro Tejerizo-Garcia
Apr 16, 2021·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Dimitrios NasioudisNawar Latif
Sep 10, 2021·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Hélène LerayGwenael Ferron
Nov 5, 2021·Obstetrics and Gynecology·Blanca Segarra-VidalPedro T Ramirez

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