Survival rate comparisons amongst cervical cancer patients treated with an open, robotic-assisted or laparoscopic radical hysterectomy: A five year experience

The purpose of this retrospective study was to assess the 5-year survival outcomes of cervical cancer patients who underwent an, open radical hysterectomy (ORH), robotic-assisted radical hysterectomy (RRH) or laparoscopic radical hysterectomy (LRH) for the treatment of their disease. We conducted a...

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Veröffentlicht in:Surgical oncology Jg. 25; H. 1; S. 66 - 71
Hauptverfasser: Mendivil, Alberto A., Rettenmaier, Mark A., Abaid, Lisa N., Brown, John V., Micha, John P., Lopez, Katrina L., Goldstein, Bram H.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Netherlands Elsevier Ltd 01.03.2016
Elsevier Limited
Schlagworte:
Adenocarcinoma - mortality
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Age
Biomedical research
Body mass index
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Cervical cancer
Endoscopic surgery
Female
Follow-Up Studies
Hematology, Oncology and Palliative Medicine
Hospitals
Humans
Hysterectomy
Hysterectomy - mortality
Laparoscopy
Laparoscopy - methods
Lymphatic system
Medical prognosis
Medical research
Middle Aged
Neoplasm Grading
Neoplasm Staging
Open surgery
Outcomes
Prognosis
Radical hysterectomy
Retrospective Studies
Robotics
Robotics - methods
Studies
Surgery
Survival Rate
Uterine Cervical Neoplasms - mortality
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
Variance analysis
Endoscopic surgery
Radical hysterectomy
Cervical cancer
Open surgery
Outcomes
ISSN:0960-7404, 1879-3320, 1879-3320
Online-Zugang:Volltext
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Zusammenfassung:The purpose of this retrospective study was to assess the 5-year survival outcomes of cervical cancer patients who underwent an, open radical hysterectomy (ORH), robotic-assisted radical hysterectomy (RRH) or laparoscopic radical hysterectomy (LRH) for the treatment of their disease. We conducted a review of all cervical cancer patients who were managed with an ORH, RRH or LRH. Forty-nine patients were treated with LRH, 58 were managed via RRH and 39 patients underwent an ORH. The LRH (1.78 h) patients had a significantly shorter operative duration than the RRH (2.88 h) and ORH (2.39 h) subjects (p < 0.001). Blood loss was the highest in the ORH (475 cc) group (RRH = 207 cc and LRH = 312 cc) (P < 0.001). Moreover, the ORH (5.04 days) patients had a significantly longer hospital stay than the LRH (2.95 days) and RRH (2.50 day) subjects (P < 0.001). Kaplan–Meier survival analysis revealed a progression free survival (PFS) rate of 84.6% for the ORH group, 89.8% for the LRH group and 89.7% for the RRH patients (P = 0.271) at 60 months; overall survival was 92.3% for the ORH group, 95.9% for the LRH group and 96.6% for the RRH patients (P = 0.80). The results from this study suggest that, irrespective of operative approach, patients who underwent a radical hysterectomy for early stage cervical cancer attained similar 5-year disease free and overall survival outcomes. •Long-term open and endoscopic radical hysterectomy survival data are indeterminate.•Blood loss and hospital stay were greater for the open procedure patients.•Open and endoscopic radical hysterectomy patients exhibited similar survival rates.
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ISSN:0960-7404
1879-3320
1879-3320
DOI:10.1016/j.suronc.2015.09.004