Robotic versus laparoscopic radical hysterectomy in early cervical cancer: A case matched control study

Anna Fagotti, Giovanni Scambia, Maria Gabriella Ferrandina, Valerio Gallotta, Carmine Conte, Alex Federico, Giuseppe Vizzielli, Salvatore Gueli Alletti, Lucia Tortorella, Luigi Pedone Anchora, Francesco Cosentino, Marco D'Indinosante, Silvia Pelligra, Vito Chiantera

Risultato della ricerca: Contributo in rivistaArticolo in rivista

21 Citazioni (Scopus)

Abstract

Background: This study aims at evaluating the feasibility, surgical outcome and oncological results observed after robotic radical hysterectomy (RH) compared to laparoscopy for patients with early stage cervical cancer (ECC) patients. Methods: Between January 2010 and October 2016, 210 patients underwent RH for treatment of ECC: 70 underwent robotic approach (Cases), and 140 underwent laparoscopic approach (Controls). Results: There was no statistically significant difference between the two approaches with regard to clinical patient characteristics and in terms of extent of RH and rate of pelvic and aortic lymphadenectomy. Operative time was significantly longer in the robotic versus laparoscopic group (median = 243 min, range 90–612 versus median = 210 min, range 80–660; p value = 0.008). Conversion to laparotomy was necessary in 4 patients (1.9%) in the whole series. No difference was found in terms of intraoperative and postoperative complications between the two groups. Overall, during the observation period, 34 (16.2%) patients experienced any grade postoperative complications, and 21 (10.0%) had >G2 complications. The 3-yr DFS was 88.0% versus 84.0% in robotic and laparoscopic group, respectively (p value = 0.866). Central and/or lateral pelvic disease represented the most common site of relapse. The 3-yr OS was 90.8% in patients underwent robotic RH versus 94.0% in patients underwent laparoscopic RH (p value = 0.924). Conclusions: The present study shows the equivalence of robotic and laparoscopic approaches to radical surgery of ECC patients, in terms of perioperative and postoperative outcomes with equivalent survival figures, and thus the choice of approach can be tailored to the choice of patient and surgeon.
Lingua originaleEnglish
pagine (da-a)754-759
Numero di pagine6
RivistaEuropean Journal of Surgical Oncology
Volume44
DOI
Stato di pubblicazionePubblicato - 2018

Keywords

  • Adult
  • Aged
  • Aged, 80 and over
  • Early Detection of Cancer
  • Early stage cervical cancer
  • Female
  • Humans
  • Hysterectomy
  • Incidence
  • Italy
  • Laparoscopy
  • Middle Aged
  • Neoplasm Staging
  • Oncology
  • Postoperative Complications
  • Retrospective Studies
  • Robotic surgery
  • Robotics
  • Surgery
  • Survival Rate
  • Time Factors
  • Uterine Cervical Neoplasms
  • Young Adult

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