Oncological outcome and long-term complications in robot-assisted radical surgery for early stage cervical cancer: an observational cohort study.
Identifieur interne : 001551 ( PubMed/Curation ); précédent : 001550; suivant : 001552Oncological outcome and long-term complications in robot-assisted radical surgery for early stage cervical cancer: an observational cohort study.
Auteurs : J P Hoogendam [Pays-Bas] ; R H M. Verheijen ; I. Wegner ; R P ZweemerSource :
- BJOG : an international journal of obstetrics and gynaecology [ 1471-0528 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Adénocarcinome (), Adénocarcinome (anatomopathologie), Adénocarcinome (mortalité), Analyse de survie, Carcinome épidermoïde (), Carcinome épidermoïde (anatomopathologie), Carcinome épidermoïde (mortalité), Complications postopératoires (épidémiologie), Femelle, Humains, Hystérectomie (), Laparoscopie (), Lymphadénectomie (), Pelvis, Robotique, Récidive tumorale locale, Résultat thérapeutique, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du col de l'utérus (), Tumeurs du col de l'utérus (anatomopathologie), Tumeurs du col de l'utérus (mortalité), Études de suivi, Études rétrospectives.
- MESH :
- anatomopathologie : Adénocarcinome, Carcinome épidermoïde, Tumeurs du col de l'utérus.
- mortalité : Adénocarcinome, Carcinome épidermoïde, Tumeurs du col de l'utérus.
- épidémiologie : Complications postopératoires.
- Adulte, Adulte d'âge moyen, Adénocarcinome, Analyse de survie, Carcinome épidermoïde, Femelle, Humains, Hystérectomie, Laparoscopie, Lymphadénectomie, Pelvis, Robotique, Récidive tumorale locale, Résultat thérapeutique, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du col de l'utérus, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adenocarcinoma (mortality), Adenocarcinoma (pathology), Adenocarcinoma (surgery), Adult, Aged, Aged, 80 and over, Carcinoma, Squamous Cell (mortality), Carcinoma, Squamous Cell (pathology), Carcinoma, Squamous Cell (surgery), Female, Follow-Up Studies, Humans, Hysterectomy (methods), Laparoscopy (methods), Lymph Node Excision (methods), Middle Aged, Neoplasm Recurrence, Local, Neoplasm Staging, Pelvis, Postoperative Complications (epidemiology), Retrospective Studies, Robotics, Survival Analysis, Treatment Outcome, Uterine Cervical Neoplasms (mortality), Uterine Cervical Neoplasms (pathology), Uterine Cervical Neoplasms (surgery).
- MESH :
- epidemiology : Postoperative Complications.
- methods : Hysterectomy, Laparoscopy, Lymph Node Excision.
- mortality : Adenocarcinoma, Carcinoma, Squamous Cell, Uterine Cervical Neoplasms.
- pathology : Adenocarcinoma, Carcinoma, Squamous Cell, Uterine Cervical Neoplasms.
- surgery : Adenocarcinoma, Carcinoma, Squamous Cell, Uterine Cervical Neoplasms.
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Middle Aged, Neoplasm Recurrence, Local, Neoplasm Staging, Pelvis, Retrospective Studies, Robotics, Survival Analysis, Treatment Outcome.
Abstract
To report the oncological outcome and long-term complications of radical surgery by robot-assisted laparoscopy in early stage cervical cancer.
DOI: 10.1111/1471-0528.12822
PubMed: 24735243
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pubmed:24735243Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adenocarcinoma (mortality)</term>
<term>Adenocarcinoma (pathology)</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Carcinoma, Squamous Cell (mortality)</term>
<term>Carcinoma, Squamous Cell (pathology)</term>
<term>Carcinoma, Squamous Cell (surgery)</term>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hysterectomy (methods)</term>
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<term>Lymph Node Excision (methods)</term>
<term>Middle Aged</term>
<term>Neoplasm Recurrence, Local</term>
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<term>Retrospective Studies</term>
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<term>Treatment Outcome</term>
<term>Uterine Cervical Neoplasms (mortality)</term>
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<term>Analyse de survie</term>
<term>Carcinome épidermoïde ()</term>
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<term>Carcinome épidermoïde (mortalité)</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Hystérectomie ()</term>
<term>Laparoscopie ()</term>
<term>Lymphadénectomie ()</term>
<term>Pelvis</term>
<term>Robotique</term>
<term>Récidive tumorale locale</term>
<term>Résultat thérapeutique</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<term>Tumeurs du col de l'utérus (anatomopathologie)</term>
<term>Tumeurs du col de l'utérus (mortalité)</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Adénocarcinome</term>
<term>Carcinome épidermoïde</term>
<term>Tumeurs du col de l'utérus</term>
</keywords>
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</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Hysterectomy</term>
<term>Laparoscopy</term>
<term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Adenocarcinoma</term>
<term>Carcinoma, Squamous Cell</term>
<term>Uterine Cervical Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Adénocarcinome</term>
<term>Carcinome épidermoïde</term>
<term>Tumeurs du col de l'utérus</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Adenocarcinoma</term>
<term>Carcinoma, Squamous Cell</term>
<term>Uterine Cervical Neoplasms</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Adenocarcinoma</term>
<term>Carcinoma, Squamous Cell</term>
<term>Uterine Cervical Neoplasms</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Neoplasm Recurrence, Local</term>
<term>Neoplasm Staging</term>
<term>Pelvis</term>
<term>Retrospective Studies</term>
<term>Robotics</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Adénocarcinome</term>
<term>Analyse de survie</term>
<term>Carcinome épidermoïde</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hystérectomie</term>
<term>Laparoscopie</term>
<term>Lymphadénectomie</term>
<term>Pelvis</term>
<term>Robotique</term>
<term>Récidive tumorale locale</term>
<term>Résultat thérapeutique</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du col de l'utérus</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">To report the oncological outcome and long-term complications of radical surgery by robot-assisted laparoscopy in early stage cervical cancer.</div>
</front>
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<DateCreated><Year>2014</Year>
<Month>10</Month>
<Day>28</Day>
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<DateCompleted><Year>2014</Year>
<Month>12</Month>
<Day>24</Day>
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<Month>Nov</Month>
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<Title>BJOG : an international journal of obstetrics and gynaecology</Title>
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<ArticleTitle>Oncological outcome and long-term complications in robot-assisted radical surgery for early stage cervical cancer: an observational cohort study.</ArticleTitle>
<Pagination><MedlinePgn>1538-45</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/1471-0528.12822</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To report the oncological outcome and long-term complications of radical surgery by robot-assisted laparoscopy in early stage cervical cancer.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Observational cohort study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Tertiary referral centre.</AbstractText>
<AbstractText Label="POPULATION" NlmCategory="METHODS">About 100 cervical cancer patients treated consecutively with robot-assisted radical surgery between 2008 and 2013.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Two gynaecological oncologists specialised in minimally invasive surgery performed all surgeries on a three/four-armed robotic system. Procedures consisted of pelvic lymph node dissection combined with a radical hysterectomy, radical vaginal trachelectomy or parametrectomy.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Recurrence, survival and long-term complication rates.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">104 robot-assisted laparoscopies were performed in 100 patients (stage IA1-IIB), with a median follow-up of 29.5 months (range 2.5-67.1 months). Thirteen cases were diagnosed with a loco-regional (8%), distant (4%) or combined (1%) recurrence at a median of 14.4 months (range 2.9-34.8 months). All mortality (7%) was cervical cancer-related and due to recurrent disease. Four recurrences receive palliative care and two are in complete remission. The overall 5-year progression-free and disease-specific survival rates are 81.4 and 88.7%, respectively. Frequent complications were lymphoedema (26%), lower urinary tract symptoms (19%), urinary tract infection (17%) and sexual disorders (9%). Five patients had a vaginal cuff dehiscence. No complication-related mortality occurred.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The recurrence, survival and long-term complication rates of robot-assisted radical surgery for early stage cervical cancer in this cohort are reassuring concerning its continued clinical use.</AbstractText>
<CopyrightInformation>© 2014 Royal College of Obstetricians and Gynaecologists.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hoogendam</LastName>
<ForeName>J P</ForeName>
<Initials>JP</Initials>
<AffiliationInfo><Affiliation>Department of Gynaecological Oncology, Woman and Baby Division, University Medical Centre Utrecht, Utrecht, the Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Verheijen</LastName>
<ForeName>R H M</ForeName>
<Initials>RH</Initials>
</Author>
<Author ValidYN="Y"><LastName>Wegner</LastName>
<ForeName>I</ForeName>
<Initials>I</Initials>
</Author>
<Author ValidYN="Y"><LastName>Zweemer</LastName>
<ForeName>R P</ForeName>
<Initials>RP</Initials>
</Author>
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<Language>eng</Language>
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<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cervical cancer</Keyword>
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<Keyword MajorTopicYN="N">recurrence</Keyword>
<Keyword MajorTopicYN="N">robot-assisted laparoscopy</Keyword>
<Keyword MajorTopicYN="N">survival</Keyword>
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