Minimally invasive hysterectomy for stage IA cervical carcinoma: a survival analysis of the National Cancer Database.

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Dimitrios NasioudisNawar A Latif

Abstract

To evaluate the outcomes of minimally invasive surgery for patients with stage IA cervical carcinoma undergoing hysterectomy. Patients with pathological stage IA (IA1, IA2, IA not otherwise specified) squamous, adenocarcinoma, adenosquamous carcinoma of the cervix, no history of another tumor, who underwent radical or simple hysterectomy with known mode of surgery, diagnosed between 2010 and 2015 with at least 1 month of follow-up, were drawn from the National Cancer Database. Comparisons of demographic and clinicopathologic characteristics were made with the χ2 test. The impact of minimally invasive surgery (robotic-assisted or traditional laparoscopic) on overall survival was assessed with the log-rank test following generation of Kaplan-Meier curves. A Cox model was constructed to control for confounders. A total of 1930 patients were identified; the majority (73.3%, 1414 patients) had stage IA1 disease, while 458 (23.7%) patients had stage IA2, and 58 (3%) patients had stage IA not otherwise specified. In the present cohort, 685 patients (35.5%) had open, 438 patients (22.7%) had laparoscopic, and 807 patients (41.8%) had robotic-assisted laparoscopic hysterectomy. Patients who had an open approach were more likely to under...Continue Reading

References

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Apr 11, 2015·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Lesley B ConradMichael Frumovitz
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Jun 4, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Shitanshu Uppal, Ryan Spencer
Jan 29, 2020·Current Oncology Reports·Stefano GreggiCono Scaffa
Feb 8, 2020·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Shitanshu UppalStephen L Rose
Jan 29, 2021·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Juliana RodriguezRene Pareja

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Citations

May 12, 2021·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Jason D Wright

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