Radical Hysterectomy: Efficacy and Safety in the Dawn of Minimally Invasive Techniques
| Autor: | Berta Díaz-Feijoo, Melchor Carbonell-Socias, Sabina Salicrú, Silvia Franco-Camps, Eva Colas, Cristina Centeno-Mediavilla, Assumpció Pérez-Benavente, Ana Oaknin, Antonio Gil-Moreno |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Operative Time Uterine Cervical Neoplasms Adenocarcinoma Hysterectomy Hospitals University 03 medical and health sciences 0302 clinical medicine Postoperative Complications Blood loss medicine Humans Minimally Invasive Surgical Procedures Robotic surgery Prospective Studies Radical Hysterectomy Laparoscopy Aged Neoplasm Staging Cervical cancer 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Obstetrics and Gynecology Cancer Length of Stay Middle Aged medicine.disease Survival Analysis Surgery Laparoscopic radical hysterectomy Spain 030220 oncology & carcinogenesis Carcinoma Squamous Cell Female University teaching Neoplasm Recurrence Local business |
| Zdroj: | Journal of minimally invasive gynecology. 26(3) |
| ISSN: | 1553-4669 |
| Popis: | STUDY OBJECTIVE To analyze the effect that the introduction of minimally invasive procedures has had on surgical and oncologic outcomes when compared with conventional open radical hysterectomy (ORH) in a national reference cancer after 17 years of experience in radical hysterectomy. DESIGN A prospective controlled study (Canadian Task Force classification II-2). SETTING A university teaching hospital. PATIENTS All patients who underwent radical hysterectomy as primary treatment for cervical cancer in our institution between May 1999 and June 2016, with a total of 188 patients. INTERVENTIONS Patients underwent ORH or minimally invasive surgery (MIS) (i.e., laparoscopic or robotically assisted radical hysterectomy). MEASUREMENTS AND MAIN RESULTS Seventy-six patients underwent ORH, 90 laparoscopic radical hysterectomy, and 22 robotically assisted radical hysterectomy. Blood loss and hospital stay were inferior in the MIS group (p |
| Databáze: | OpenAIRE |
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