Comparing robotic surgery with conventional laparoscopy and laparotomy for cervical cancer management.

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  • Author(s): Chen CH;Chen CH;Chen CH;Chen CH; Chiu LH; Chang CW; Yen YK; Huang YH; Liu WM
  • Source:
    International journal of gynecological cancer : official journal of the International Gynecological Cancer Society [Int J Gynecol Cancer] 2014 Jul; Vol. 24 (6), pp. 1105-11.
  • Publication Type:
    Comparative Study; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: BMJ Country of Publication: England NLM ID: 9111626 Publication Model: Print Cited Medium: Internet ISSN: 1525-1438 (Electronic) Linking ISSN: 1048891X NLM ISO Abbreviation: Int J Gynecol Cancer Subsets: MEDLINE
    • Publication Information:
      Publication: 2019- : [London] : BMJ
      Original Publication: Cambridge, MA, USA : Blackwell Scientific Publications, c1991-
    • Subject Terms:
      Laparoscopy* ; Laparotomy* ; Postoperative Complications* ; Robotics*; Adenocarcinoma/*surgery ; Carcinoma, Squamous Cell/*surgery ; Uterine Cervical Neoplasms/*surgery; Adenocarcinoma/mortality ; Adenocarcinoma/pathology ; Adult ; Aged ; Aged, 80 and over ; Carcinoma, Squamous Cell/mortality ; Carcinoma, Squamous Cell/pathology ; Female ; Follow-Up Studies ; Humans ; Hysterectomy ; Length of Stay/statistics & numerical data ; Middle Aged ; Neoplasm Staging ; Prognosis ; Retrospective Studies ; Survival Rate ; Uterine Cervical Neoplasms/mortality ; Uterine Cervical Neoplasms/pathology
    • Abstract:
      Objective: The aim of this study was to compare the outcomes of robotic surgery, laparoscopy, and laparotomy for the surgical treatment of stage IA to IIB cervical cancer.
      Methods: This retrospective study was carried out in a university-affiliated teaching hospital. A total of 100 women with an initial diagnosis of stage IA to IIB cervical cancer, without preoperative brachytherapy or chemotherapy, were included in this study. With selection of the cases, 44 patients received laparotomy surgery, 32 patients received laparoscopic surgery, and 24 patients received robotic surgery. The perioperative parameters measured included operation time, blood loss, transfusion rate, lymph node yield, adhesion score, laparotomy conversion rate, postoperative and 24-hour pain scores, time to full diet resumption, and hospital stay. The perioperative complication and disease-free survival were also evaluated.
      Results: The robotic group showed a shorter operation time, less blood loss, lower transfusion rate, and lower laparotomy conversion rate than the laparoscopic or laparotomy group. As for the postoperative parameters, the robotic group showed reduced postoperative and 24-hour pain scores, shortened length of hospital stay, and decreased time to full diet resumption compared with the other 2 surgical groups. No significant differences were found between the groups in perioperative complication rate or disease-free survival.
      Conclusions: The data suggested that robotic surgery is a feasible and potentially optimal option for the treatment of stage IA to IIB cervical cancer with favorable short-term surgical outcomes.
    • Publication Date:
      Date Created: 20140614 Date Completed: 20150330 Latest Revision: 20181030
    • Publication Date:
      20221213
    • Accession Number:
      10.1097/IGC.0000000000000160
    • Accession Number:
      24927245