Implementation of laparoscopic approach for type B radical hysterectomy: A comparison with open surgical operations

Antonino Ditto, Fabio Martinelli, Giorgio Bogani, Maria L. Gasparri, Violante Di Donato, Flavia Zanaboni, Domenica Lorusso, Francesco Raspagliesi

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To investigate the safety, feasibility and effectiveness of laparoscopic approach in the management patients undergoing modified radical hysterectomy for early stage cervical cancer. Methods: Consecutive data of 157 women who had class II radical hysterectomy, for stage IA2 and stage IB1 0.05). Patients undergoing surgery via laparoscopy experienced longer operative time than patients undergoing RAH; while LRH correlated whit shorter length of hospitalization and lower blood loss in comparison to RAH. Intra- And post-operative complication rate was similar between groups ( p 1/4 1.00). The execution of LRH or RAH did not influence site of recurrence ( p > 0.2) as well as survival outcomes, in term of 5-year disease-free ( p 1/4 0.29, log-rank test) and overall survivals ( p 1/4 0.50, log-rank test). Conclusion: Laparoscopic approach is a safe procedure, upholds the results of RAH, reducing invasiveness of open surgical operations. Further large prospective investigations are warranted.

Original languageEnglish
Pages (from-to)34-39
Number of pages6
JournalEuropean Journal of Surgical Oncology
Volume41
Issue number1
DOIs
Publication statusPublished - 2015

Keywords

  • Laparoscopy
  • Morbidity
  • Open surgery
  • Survival
  • Type II radical hysterectomy

ASJC Scopus subject areas

  • Oncology
  • Surgery

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