Trachelectomy for reproductive-aged women with early-stage cervical cancer: minimally invasive surgery versus laparotomy

American Journal of Obstetrics and Gynecology
Koji MatsuoJason D Wright

Abstract

A recent trial demonstrated decreased survival in women with early-stage cervical cancer who underwent radical hysterectomy via minimally invasive surgery compared with laparotomy; however, outcomes following trachelectomy have yet to be studied. To examine trends, characteristics, and survival of reproductive-aged women with early-stage cervical cancer who underwent minimally invasive trachelectomy. This is a retrospective study examining the National Cancer Database between 2010 and 2015. Women aged <50 years who underwent trachelectomy for stage IA2-IB cervical cancer were grouped by mode of surgery. Clinicopathologic characteristics and outcomes were compared between minimally invasive surgery and laparotomy groups. A total of 246 women were included, 144 (58.5%, 95% confidence interval, 52.4%-64.7%) of whom had trachelectomy with a minimally invasive surgery approach. Median age was similar between the minimally invasive surgery and laparotomy groups (median, 31 vs 29 years, P = .20). There was a significant increase in the use of minimally invasive surgery from 29.3% in 2010 to 75.0% in 2015 (P < .001). Specifically, minimally invasive surgery became the dominant approach for trachelectomy by year 2011 (54.8%). Hospitals ...Continue Reading

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Citations

Sep 12, 2018·Cancer Research and Treatment : Official Journal of Korean Cancer Association·Jin Hee KimJae Weon Kim
Apr 14, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Alena ChernyshovaJi Hoon Kang
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Apr 24, 2021·Best Practice & Research. Clinical Obstetrics & Gynaecology·Gloria SalvoPedro T Ramirez

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