The Role of Laparoscopic Radical Hysterectomy in Early-Stage Adenocarcinoma of the Uterine Cervix.
Identifieur interne : 000673 ( PubMed/Curation ); précédent : 000672; suivant : 000674The Role of Laparoscopic Radical Hysterectomy in Early-Stage Adenocarcinoma of the Uterine Cervix.
Auteurs : Jeong-Yeol Park [Corée du Sud] ; Daeyeon Kim [Corée du Sud] ; Dae-Shik Suh [Corée du Sud] ; Jong-Hyeok Kim [Corée du Sud] ; Yong-Man Kim [Corée du Sud] ; Young-Tak Kim [Corée du Sud] ; Joo-Hyun Nam [Corée du Sud]Source :
- Annals of surgical oncology [ 1534-4681 ] ; 2016.
Abstract
To compare long-term survival outcomes and patterns of recurrence of laparoscopic radical hysterectomy (LRH) and open radical hysterectomy (ORH) in early-stage cervical adenocarcinoma.
DOI: 10.1245/s10434-016-5489-4
PubMed: 27503491
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<front><div type="abstract" xml:lang="en">To compare long-term survival outcomes and patterns of recurrence of laparoscopic radical hysterectomy (LRH) and open radical hysterectomy (ORH) in early-stage cervical adenocarcinoma.</div>
</front>
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<pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27503491</PMID>
<DateCreated><Year>2016</Year>
<Month>08</Month>
<Day>09</Day>
</DateCreated>
<DateRevised><Year>2016</Year>
<Month>12</Month>
<Day>12</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1534-4681</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>23</Volume>
<Issue>Suppl 5</Issue>
<PubDate><Year>2016</Year>
<Month>Dec</Month>
</PubDate>
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<Title>Annals of surgical oncology</Title>
<ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation>
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<ArticleTitle>The Role of Laparoscopic Radical Hysterectomy in Early-Stage Adenocarcinoma of the Uterine Cervix.</ArticleTitle>
<Pagination><MedlinePgn>825-833</MedlinePgn>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare long-term survival outcomes and patterns of recurrence of laparoscopic radical hysterectomy (LRH) and open radical hysterectomy (ORH) in early-stage cervical adenocarcinoma.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The medical records of 293 patients with stage IA2-IIA cervical adenocarcinomas who underwent radical hysterectomy were retrospectively reviewed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In total, 186 patients underwent LRH and 107 underwent ORH. There was no difference between the two surgery groups in clinicopathologic characteristics. There were no differences in disease-free survival (DFS) and overall survival (OS) between the LRH and ORH groups (88.7 vs. 84.1 %, P = 0.725; and 93.0 vs. 86.9 %, P = 0.735) for univariate analysis and multivariate analysis after adjusting for other significant prognostic factors. There was no difference in the patterns of recurrence between the two surgery groups (P = 0.220). The median time interval between surgery and the first recurrence were 25 months (range, 3-100 months) for LRH group and 14 months (range, 3-128 months) for ORH group (P = 0.230). The LRH group showed significantly fewer postoperative complications (P < 0.001), less estimated blood loss (P < 0.001), faster bowel movement recovery (P < 0.001), shorter postoperative hospital stay (P < 0.001), and a lower rate of wound dehiscence, ileus, lymphedema, infected lymphocele, and pelvic abscess (P = 0.004, 0.011, 0.017, and 0.040, respectively).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">LRH has comparable survival outcomes with ORH and did not affect the pattern of recurrence in early-stage adenocarcinoma of the uterine cervix. The surgical outcomes were more favorable than ORH.</AbstractText>
</Abstract>
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