The comparison of surgical outcomes and learning curves of radical hysterectomy by laparoscopy and robotic system for cervical cancer: an experience of a single surgeon

Obstetrics & Gynecology Science
Yoon Jung HeoJae Yun Song

Abstract

The aim of this study was to compare and determine the feasibility, surgical outcomes, learning curves of robotic radical hysterectomy with lymph node dissection (RRHND) to conventional laparoscopic radical hysterectomy with lymph node dissection (LRHND) performed by a single surgeon, in patients with cervical cancer. Between April 2009 and March 2013, 22 patients underwent LRHND and 19 patients underwent RRHND. Variables such as age, body mass index, International Federation of Gynecology and Obstetrics stage, histological results, number of dissected lymph nodes, operative time, estimated blood loss, days of hospitalization and complications were reviewed. Learning curves of operation time was obtained using cumulative sum (CUSUM) method. Both groups showed similar patient and tumor characteristics. In surgical outcome analysis, RRHND (51.8±10.4 minutes) showed longer preparing time than LRHND (42.5±14.1 minutes). In the LRHND group, 8 patients experienced postoperative complications (5 void difficulty, 1 postoperative bleeding, 1 right basal ganglia infarction, 1 fever). On the other hand, in the RRHND group, 4 patients experienced a postoperative complication (2 bleeding, 1 peritonitis, 1 dehiscence of trocar site). Using C...Continue Reading

References

May 5, 1977·The New England Journal of Medicine·H Wohl
Nov 18, 2000·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·S Bolsin, M Colson
Jun 5, 2007·Quality & Safety in Health Care·Rory WolfePeter Stow
May 24, 2008·The British Journal of Surgery·D J BiauR Porcher
Jan 18, 2011·Gynecologic Oncology·C B M KruijdenbergR L M Bekkers
Feb 26, 2011·International Journal of Cancer. Journal International Du Cancer·Jacques FerlayDonald Maxwell Parkin
Jul 31, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jong Ha HwangSang-Yoon Park
May 31, 2014·Asian Journal of Endoscopic Surgery·Se-Jin Baek, Seon-Hahn Kim
Aug 19, 2015·Korean journal of urology·Ill Young Seo

❮ Previous
Next ❯

Citations

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
Jan 7, 2022·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Shouqing WangJian Wang

❮ Previous
Next ❯

Methods Mentioned

BETA
hysterectomy
dissection
hysterectomies

Software Mentioned

DT
CUSUM
Statistical Package for the Social Sciences
OT
RRHND

Related Concepts

Related Feeds

Basal Ganglia

Basal Ganglia are a group of subcortical nuclei in the brain associated with control of voluntary motor movements, procedural and habit learning, emotion, and cognition. Here is the latest research.

Related Papers

International Journal of Clinical and Experimental Medicine
Xianghua YinMin Shi
International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Vanna ZanagnoloAngelo Maggioni
International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Giacomo CorradoGiovanni Scambia
© 2022 Meta ULC. All rights reserved